Organization Active NPI

At Ease Mental Health, LLC

  • Psychiatry Physician
  • Pikesville, MD
National Provider Identifier
1760959126
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Aug 8, 2024

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.NPI 1669568796
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20240822003516 MD Part B Supplier - Clinic/Group Practice 6305385287 Receives reassigned benefits from 1 practitioner
Practice locations: Pikesville, MD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.