Active NPI
At Ease Mental Health, LLC
- Psychiatry Physician
- Pikesville, MD
National Provider Identifier
1760959126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- AT EASE MENTAL HEALTH, LLC
- Practice address
- 1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126 - Phone
- (443) 883-0229
- Fax
- (443) 898-6813
- NPI assigned
- Oct 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angela Nduaguba-Ezumba, D.O.
- Title
- Psychiatrist
- Phone
- (443) 883-0229
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126
Mailing address
1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126
Phone (443) 883-0229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
600 Reisterstown Rd
Ste 203
Pikesville, MD 21208
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Owings Mills, MD
- NPI 1669568796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1760959126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 REISTERSTOWN RD STE 350",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212087126",
"telephone_number": "443-883-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 REISTERSTOWN RD STE 350",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212087126",
"telephone_number": "443-883-0229",
"fax_number": "443-898-6813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT EASE MENTAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-24",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "NDUAGUBA-EZUMBA",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "443-883-0229",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.