Charles Okorom, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R200643 Issued in MD

Practice address

9605 Toucan Dr
Upper Marlboro, MD 20772-4780

Phone

(443) 341-7368

NPI assigned

Aug 15, 2019

Last updated

Aug 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, Single Specialty

  Medicare reassignment NPD
• Zitel Healthcare Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
  • NPI 1629686076
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1609422534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9605 TOUCAN DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724780",
            "telephone_number": "443-341-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 TOUCAN DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724780",
            "telephone_number": "443-341-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOROM",
        "first_name": "CHARLES",
        "credential": "CRNP-PMH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R200643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorine Chidima Okebugwu
• Clement Okehie
• Lois Chinyere Okeke
• Mercy Okorie
• Stella Okoro
• Adaeze O Okoye, PHARM.D
• Princess Adaeze Okoye
• Cynthia Muyang Okuefune
• Joshua Nosa Okundaye, PH.D., LCSW-C
• Oluwaseun Y Okunoren

• Psychiatric/Mental Health Nurse Practitioner in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.