NPIMap

Organization Active NPI

Berur Health & Wellness Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hanover, MD
National Provider Identifier
1699513192
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BERUR HEALTH & WELLNESS SERVICES LLC
Practice address
6011 Valentine Way
Hanover, MD 21076-2363
Phone
(952) 992-9162
NPI assigned
Jul 18, 2024
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BERUR HEALTH & WELLNESS SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Norah Jemutai Tio, NPNPI 1902596745
Title
Pmhnp-BC
Phone
(952) 992-9162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

6011 Valentine Way
Hanover, MD 21076-2363

Mailing address

6011 Valentine Way
Hanover, MD 21076-2363
Phone (952) 992-9162

National Provider Directory

National Provider Directory
Tax ID family
Berur HLTH Well SVC LLC2 organizations share this tax ID, including this one
Part of
Berur HLTH Well SVC LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1699513192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 VALENTINE WAY",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210762363",
            "telephone_number": "952-992-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 VALENTINE WAY",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210762363",
            "telephone_number": "952-992-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERUR HEALTH & WELLNESS SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERUR HEALTH & WELLNESS SERVICES LLC",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "TIO",
        "authorized_official_first_name": "NORAH",
        "authorized_official_middle_name": "JEMUTAI",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "952-992-9162",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.