Individual provider Active NPI

Akuele Mayanza

  • Psychiatric/Mental Health Nurse Practitioner
  • Parkville, MD
National Provider Identifier
1659107928
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R235135 Issued in MD
Practice address
2908 Topaz Rd
Parkville, MD 21234-4606
Phone
(443) 627-3913
NPI assigned
Sep 12, 2024
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 R235135 MD Primary

Addresses

Primary practice location

2908 Topaz Rd
Parkville, MD 21234-4606

Mailing address

2908 Topaz Rd
Parkville, MD 21234-4606
Phone (443) 627-3913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20250203002620 MD Practitioner - Nurse Practitioner 0345770541 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindfulbalanced Psychiatric LLCGroup PAC ID 7911438742, 2 clinicians
Jamoy LLCGroup PAC ID 2264952357, 3 clinicians
Resonance Behavioral Health ServicesGroup PAC ID 5991194813, 12 clinicians

Practice addresses (Care Compare)

10711 Red Run Blvd
Suite 101
Owings Mills, MD 21117-5138
Phone (443) 449-3941

1216 Lobo CT
Abingdon, MD 21009-4302
Phone (443) 841-6262

5136 Belair Rd
Apt B
Baltimore, MD 21206-5159
Phone (443) 500-2458

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R235135MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jamoy LLC CurrentSince Mar 1, 2026 Accepting new patients
Resonance Behavioral Health Services Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1659107928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 TOPAZ RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344606",
            "telephone_number": "443-627-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 TOPAZ RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344606",
            "telephone_number": "443-627-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYANZA",
        "first_name": "AKUELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R235135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

Verify at the official NPI Registry.