Victorine Akwen Ngang
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Curtis Bay, MD
NPI 1669930996 · NPPES record last updated Oct 23, 2020
Key facts
- NPI
- 1669930996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R209034 (MD)
- Practice address
- 4710 Pennington Ave
Curtis Bay, MD 21226-1405 - Phone
- (410) 355-3285
- NPI assigned
- Mar 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Unique Minds Behavioral Health Services, LLC
Practice addresses (Care Compare)
6810 Park Heights Ave
C6
Baltimore, MD 21215-1641
Phone (443) 538-8400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in DC, MD, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190724001264 | DC | Practitioner - Nurse Practitioner | 8527394899 | Reassigns benefits to 2 organizations |
| I20200521002671 | MD | Practitioner - Nurse Practitioner | 8527394899 | Reassigns benefits to 2 organizations |
| I20251006003366 | OH | Practitioner - Nurse Practitioner | 8527394899 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1041047 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
| R209034 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unique Minds Behavioral Health Services | Current |
Accepting new patients | |
| Thrive Counseling LLC | Current |
Accepting new patients | |
| Unique Minds Behavioral Health Services, LLC | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Unique Minds Behavioral Health Services, LLC | Past | Accepting new patients |
Locations
1402 N Capitol St NW
#1
Washington, DC 20002
Phone (443) 538-8400
5410 Lynx Ln
Ste 285
Columbia, MD 21044
Phone (410) 740-3240
1 W Winter St
Ste 211
Delaware, OH 43015
Phone (443) 538-8400
6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN1041047 | DC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R209034 | MD | Yes |
Addresses
Primary practice location
4710 Pennington Ave
Curtis Bay, MD 21226-1405
Mailing address
6810 Park Heights Ave
Baltimore, MD 21215-1641
Phone (443) 538-8400
Other practice location 1
7603 Georgia Ave NW
Washington, DC 20012-1617
Phone (202) 506-5529
Other providers in Curtis Bay, MD
- Danielle Emerson
- Aaron E Fulcher
- Zachary Hodges
- Doro J Kim
- New Vision Behavioral Health Services Inc
- Megan Norton
- Teresa Lorraine Padilla
- James Robert Riccelli
- Harold Edward Schofield Jr.
- Uscg Clinic
All providers in Curtis Bay, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.