Reginald Eugene Degrafenreid Jr., N.P., PMH-NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R193260 Issued in MD

Practice address

1866 Reisterstown Rd
F
Baltimore, MD 21208-1335

Phone

(410) 484-5642

Fax

(410) 484-5541

NPI assigned

Nov 18, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Equanimity Integrated Behavioral Health & Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parkville, MD
  • NPI 1235888157
  NPD (past) Authorized official
• Equanimity Integrated Behavioral Health & Wellness LLC

  • Community/Behavioral Health Agency
  • Parkville, MD
  • NPI 1982345997
  NPD (past) Authorized official
• Sinai Hospital of Baltimore Inc

  • Surgical Critical Care Physician
  • Baltimore, MD
  • NPI 1043235666
  NPD
• Fidel Chiropractic Center, Inc.

  • Rehabilitation Chiropractor
  • Baltimore, MD
  • NPI 1134345101
  NPD (past)

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1699149492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 GLENDALE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212391408",
            "telephone_number": "410-733-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 REISTERSTOWN RD",
            "address_2": "F",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081335",
            "telephone_number": "410-484-5642",
            "fax_number": "410-484-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAFENREID",
        "first_name": "REGINALD",
        "middle_name": "EUGENE",
        "name_suffix": "Jr.",
        "credential": "N.P., PMH-NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-18",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R193260",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R193260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher R Defilippi, M.D.
• Nicholas Defreitas
• Hirut Degefu
• Alexander Deger, PA-C
• Kimberly Weir Degirolamo, M.S., CCC-SLP
• Robert J Degrazia Jr., M.D.
• Zoe Smith Degrazia
• Christian Degroot
• Margaret Degruchy, MPT
• Janis Dehaan

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, 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 Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.