Active NPI
Probity Healthcare Services & Clinic, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jessup, MD
National Provider Identifier
1861272478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chidinma Eze
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
2112 Broadway St NE
Ste 22
Minneapolis, MN 55413
Phone (301) 254-6807
Interoperability endpoints
- 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.