Umaru Labay-Kamara, MD, LLC
Organization Active NPI Psychiatry Physician · La Plata, MD
NPI 1790289890 · NPPES record last updated Apr 9, 2024
Key facts
- NPI
- 1790289890
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- D0075232 (MD)
- Legal business name
- UMARU LABAY-KAMARA, MD, LLC
- Practice address
- 101 E Charles St Ste 202
La Plata, MD 20646-4901 - Phone
- (301) 934-3415
- NPI assigned
- Mar 22, 2018
- Organization subpart
- No
Authorized official
- Name
- Umaru Labay-Kamara, M.D.
- Title
- Owner
- Phone
- (806) 776-6106
Practitioners 11
-
Marlyn Josey, LMSW
-
Samuel Sulaiman Koroma, PMHNP
-
Dorothy Eposi Mbellason, CRNP-PMH
-
Mutiat O. Popoola, NURSE PRACTITIONER
-
Vivian A Umeugo, CRNP-PMH
-
Ramona White, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180713001071 | MD | Part B Supplier - Clinic/Group Practice | 0143576611 |
Receives reassigned benefits from 11 practitioners Practice locations: La Plata, MD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Psychiatry Physician |
2084P0800X | D0075232 | MD | Yes |
Addresses
Primary practice location
101 E Charles St Ste 202
La Plata, MD 20646-4901
Mailing address
101 E Charles St Ste 202
La Plata, MD 20646-4901
Phone (301) 934-3415
Other practice location 1
14417 Shadow Ridge Ct
Hughesville, MD 20637-2008
Phone (806) 778-6106
Other names
- Axios Behavioral Health
Other providers in La Plata, MD
- Paula Jean Trinch
- Daniel Tummillo
- Jairus Laquinten Turk
- Ca'Seem Tyler
- Umaru Labay-Kamara, MD, LLC
- Cyprian Ike Ume
- Umms Ambulatory Care LLC
- University of Maryland Charles Regional Urgent Care, LLC
- University of Maryland Community Medical Group, Inc.
- University of Maryland Community Medical Group, Inc.
All providers in La Plata, MD · Psychiatry Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.