Individual provider Active NPI

Cecilia Arrey Ebot

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1609571942
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R242026 Issued in MD
Practice address
6501 N Charles St
Towson, MD 21204-6819
Phone
(410) 938-4006
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R242026 MD Primary

Addresses

Primary practice location

6501 N Charles St
Towson, MD 21204-6819

Mailing address

6501 N Charles St
Towson, MD 21204-6819
Phone (410) 938-4006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240612004565 DC Practitioner - Nurse Practitioner 7618419060 Reassigns benefits to 1 organization
I20240812000941 MD Practitioner - Nurse Practitioner 7618419060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matobi Family Healthcare,LLCGroup PAC ID 8628309762, 2 clinicians

Practice addresses (Care Compare)

1800 N Charles St
Suite 808
Baltimore, MD 21201-5999
Phone (240) 898-1810

7350 Van Dusen Rd
Suite 340
Laurel, MD 20707-5264
Phone (240) 423-2043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nurse Practitioner on Call LLC Psychiatric/Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Matobi Family Healthcare,LLC Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients
Matobi Family Healthcare,LLC Current Accepting new patients

Locations

1800 N Charles St
Ste 804
Baltimore, MD 21201
Phone (240) 667-1679

7350 Van Dusen Rd
Ste 340
Laurel, MD 20707
Phone (240) 423-2043

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1609571942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "410-938-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "410-938-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBOT",
        "first_name": "CECILIA",
        "middle_name": "ARREY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R242026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.