Jeremiah Soko, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R180816 Issued in MD

Practice address

5415 Creston Ave
Baltimore, MD 21214-2713

Phone

(443) 676-8616

NPI assigned

Sep 11, 2023

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Integrative Behavioral Health,LLCGroup PAC ID 2961833884, 4 clinicians

Esno Health GroupGroup PAC ID 4385057470, 5 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 and National Provider Directory roles.

• Esno Health Group

  • Psychiatry Physician
  • Fulton, MD
  • NPI 1740783539

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Integrative Behavioral Health,LLC

  • Clinical Social Worker
  • Towson, MD
  • NPI 1033738927
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1841077237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 CRESTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142713",
            "telephone_number": "443-676-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 CRESTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142713",
            "telephone_number": "443-676-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKO",
        "first_name": "JEREMIAH",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R180816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Han G. Sohn, M.D.
• Uri Simcha Soiberman, M.D.
• Sojourn Well, LLC
• Christopher S Sokalski, PA-C
• Olufunke M Sokan, RPH
• Lori J Sokoll, PHD
• Sima Sokoloff, CRNP
• Daniil Sokolov, DO
• Mark Sokolsky, MD
• Sidonie Josiane Sokoudjou Takougang, PHARMD

• 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 Sep 11, 2023; 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.