Organization Active NPI

Probity Healthcare Services & Clinic, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jessup, MD
National Provider Identifier
1861272478
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PROBITY HEALTHCARE SERVICES & CLINIC, LLC
Practice address
8609 Schappell Way
Jessup, MD 20794-4072
Phone
(301) 254-6807
NPI assigned
Oct 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Chidinma EzeNPI 1497283097
Title
Doctor of Nursing Practice
Phone
(301) 254-6807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

8609 Schappell Way
Jessup, MD 20794-4072

Mailing address

8609 Schappell Way
Jessup, MD 20794-4072
Phone (301) 254-6807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250707001075 MN Part B Supplier - Clinic/Group Practice 3577816099 Receives reassigned benefits from 1 practitioner
Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory

Locations

2112 Broadway St NE
Ste 22
Minneapolis, MN 55413
Phone (301) 254-6807

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21113/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1861272478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 SCHAPPELL WAY",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207944072",
            "telephone_number": "301-254-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 SCHAPPELL WAY",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207944072",
            "telephone_number": "301-254-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROBITY HEALTHCARE SERVICES & CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "CHIDINMA",
        "authorized_official_title_or_position": "DOCTOR OF NURSING PRACTICE",
        "authorized_official_telephone_number": "301-254-6807"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jessup, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.