Heal (Holistic Healing Psychiatry) LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HEAL (HOLISTIC HEALING PSYCHIATRY) LLC

Practice address

9701 Apollo Dr Ste 100
Largo, MD 20774-4785

Phone

(301) 798-9931

NPI assigned

Aug 30, 2022

Last updated

Jul 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kedemah Joseph-FagbuyiNPI 1558604421

Title

Psychiatric Nurse Practitioner

Phone

(860) 518-7454

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kedemah Joseph-Fagbuyi, FNP, PMHNP

  • Case Manager/Care Coordinator
  • Washington, DC
  • NPI 1558604421

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1861112831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 100",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744785",
            "telephone_number": "301-798-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 100",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744785",
            "telephone_number": "301-798-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL (HOLISTIC HEALING PSYCHIATRY) LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "JOSEPH-FAGBUYI",
        "authorized_official_first_name": "KEDEMAH",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "860-518-7454"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalila D Harvey-Granger, M.D.
• Ali Hasan, MD
• Aisha Hassam, MD
• Malika Tamara Haylock-Jones, FNP
• Jennifer Ansio Headley-Bunns, R.D., L.D.
• Healing Mind Wellness
• Healing Mind Wellness
• Heart to Hand Inc (Heart to Hand Pharmacy)
• Heart to Hand, Inc
• Arthur Christian Held, MD

• Psychiatric/Mental Health Nurse Practitioner in Largo, MD
• Providers in Largo, 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 Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.