Active NPI
Glory Ngum Forbi, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Bowie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R167785
- Practice address
- 9712 Bald Hill Rd
Bowie, MD 20721-2875 - Phone
- (240) 273-2054
- NPI assigned
- Mar 12, 2020
- Last updated
- May 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R167785 | MD | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R167785 | DC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN1006285 | DC |
Addresses
Primary practice location
9712 Bald Hill Rd
Bowie, MD 20721-2875
Mailing address
9712 Bald Hill Rd
Bowie, MD 20721-2875
Phone (240) 273-2054
Other practice location 1
1200 1st St NE Ste 320
Washington, DC 20002-3385
Phone (240) 273-2054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Bowie, MD 20721
Phone (240) 273-2054
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R167785 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
| R167785 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind & Soul Telewellness LLC | Multi-Specialty | Current | Accepting new patients |
| Onpoint Mental Health Tele and Wellness Services LLC | Multi-Specialty | Current | Accepting new patients |
Locations
320 E Towsontown Blvd
Ste 201
Towson, MD 21286
Phone (410) 296-2004
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Bowie, MD
- NPI 1245959840
DC, Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1790310506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9712 BALD HILL RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207212875",
"telephone_number": "240-273-2054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9712 BALD HILL RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207212875",
"telephone_number": "240-273-2054"
}
],
"practiceLocations": [
{
"address_1": "1200 1st St NE Ste 320",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200023385",
"country_code": "US",
"telephone_number": "240-273-2054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORBI",
"first_name": "GLORY",
"middle_name": "NGUM",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-12",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R167785",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "R167785",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "RN1006285",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.