Damian Ayichi

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R183349 Issued in MD

Practice address

9106 Philadelphia Rd Ste 108B
Baltimore, MD 21237-4333

Phone

(410) 321-1961

Fax

(410) 321-1962

NPI assigned

Sep 25, 2013

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Carroll County Youth Service Bureau, Inc.Group PAC ID 2365417052, 12 clinicians

Empowerment Healthcare Systems,LLCGroup PAC ID 4486906252, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowerment Healthcare Systems,LLC

  • Multi-Specialty Clinic/Center
  • Baltimore, MD
  • NPI 1003314675

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Carroll County Youth Service Bureau, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westminster, MD
  • NPI 1710042924
  Medicare reassignment Care Compare group NPD
• Empowerment Healthcare Systems, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1922621580

  Psychiatric/Mental Health

  NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1790111532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18844",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212060844",
            "telephone_number": "410-321-1961",
            "fax_number": "410-321-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 108B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374333",
            "telephone_number": "410-321-1961",
            "fax_number": "410-321-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYICHI",
        "first_name": "DAMIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R183349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren S Ayers, PTA
• Sylvia Ayers, CRNP
• Muge Aygen, M.D.
• Cengiz Aygun, M.D.
• Mehtap A Aygun, M.D.
• Chiedozie Joseph Ayika
• Olayemi Tosin Ayilegbe
• Desmond Ayim-Boateng
• Aynjel Healthcare
• Jokotola O Ayo Ajayi, CRNP-PMH

• 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 Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.