Individual provider Active NPI

Evelyn-Lydia Gyamfi

  • Psychiatric/Mental Health Nurse Practitioner
  • Aberdeen, MD
National Provider Identifier
1811589443
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R199556 Issued in MD
Practice address
813 United CT
Aberdeen, MD 21001-1291
Phone
(443) 417-7346
NPI assigned
Feb 4, 2021
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R199556 MD Primary

Addresses

Primary practice location

813 United CT
Aberdeen, MD 21001-1291

Mailing address

813 United CT
Aberdeen, MD 21001-1291
Phone (443) 417-7346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240719001299 MD Practitioner - Nurse Practitioner 6406392042 Reassigns benefits to 2 organizations
I20260115001879 DC Practitioner - Nurse Practitioner 6406392042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

253 Lewis LN
Suite 201
Havre de Grace, MD 21078-3756
Phone (410) 220-0720

601 7TH St
Suite 304
Laurel, MD 20707-4011
Phone (410) 220-0720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R199556MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matclinic Physicians Practice Group LLC Psychiatric/Mental Health CurrentSince Jan 2, 2026 Accepting new patients
Matclinic Physicians Practice Group LLC Psychiatric/Mental Health CurrentSince Jan 2, 2026 Accepting new patients
JDMF Psychiatric Services LLC CurrentSince Apr 11, 2024 Accepting new patients
Matclinic Physicians Practice Group LLC CurrentSince Jan 2, 2026 Accepting new patients

Locations

40 S Dundalk Ave
Ste 400
Dundalk, MD 21222
Phone (410) 220-0270

1101 Opal Ct
Ste 301
Hagerstown, MD 21740
Phone (240) 329-9033

253 Lewis Ln
Ste 201
Havre de Grace, MD 21078

601 7th St
Ste 304
Laurel, MD 20707
Phone (410) 220-0280

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1811589443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 UNITED CT",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011291",
            "telephone_number": "443-417-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 UNITED CT",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011291",
            "telephone_number": "443-417-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYAMFI",
        "first_name": "EVELYN-LYDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R199556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

Verify at the official NPI Registry.