Individual provider Active NPI

Kingsley Azubuike Onuorah

  • Psychiatric/Mental Health Nurse Practitioner
  • Pikesville, MD
National Provider Identifier
1669176897
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R238017 Issued in MD
Practice address
7 Sudbrook LN
Pikesville, MD 21208-4118
Phone
(410) 486-8771
NPI assigned
Mar 30, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 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 R238017 MD Primary

Addresses

Primary practice location

7 Sudbrook LN
Pikesville, MD 21208-4118

Mailing address

7 Sudbrook LN
Pikesville, MD 21208-4118
Phone (443) 453-3414

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
I20231228001947 MD Practitioner - Nurse Practitioner 2466802723 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R238017MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Community Services Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Bridge Integrating Group Practice LLC CurrentSince Nov 21, 2023 Accepting new patients
Safe Harbor Behavioral Care, LLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Mindfulpathdc Psychiatric/Mental Health PastSince Nov 21, 2023 Accepting new patients

Locations

606 Baltimore Ave
Ste 406
Baltimore, MD 21204

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

Organizations & group practices 4

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": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1669176897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SUDBROOK LN",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084118",
            "telephone_number": "443-453-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SUDBROOK LN",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084118",
            "telephone_number": "410-486-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONUORAH",
        "first_name": "KINGSLEY",
        "middle_name": "AZUBUIKE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R238017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.