Individual provider Active NPI

Chinedu Vincent Ofor

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1871067157
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R170513 Issued in MD
Practice address
7 Saint Paul St Ste 820
Baltimore, MD 21202-1681
Phone
(800) 370-3651
Fax
(877) 515-7147
NPI assigned
Jan 19, 2019
Last updated
Mar 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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 R170513 MD Primary

Addresses

Primary practice location

7 Saint Paul St Ste 820
Baltimore, MD 21202-1681

Mailing address

4130 Kennygreen CT
Randallstown, MD 21133-5302
Phone (410) 908-6207

Other practice location 1

4130 Kennygreen Ct
Randallstown, MD 21133-5302
Phone (410) 908-6207

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
I20190403000112 MD Practitioner - Nurse Practitioner 2567703499 Reassigns benefits to 1 organization
I20230522003530 DC Practitioner - Nurse Practitioner 2567703499

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R170513MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
People Encouraging People, Inc. CurrentSince Mar 1, 2020 Accepting new patients
People Encouraging People, Inc. CurrentSince Mar 1, 2020 Accepting new patients
New Era Mind Wellness CurrentSince Apr 7, 2023 Accepting new patients

Locations

22 S Howard St
#1
Baltimore, MD 21201

4201 Primrose Ave
Baltimore, MD 21215
Phone (410) 764-8560

9801 Georgia Ave
Ste 224
Silver Spring, MD 20902
Phone (301) 593-9000

Organizations & group practices 3

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": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1871067157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 KENNYGREEN CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335302",
            "telephone_number": "410-908-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SAINT PAUL ST STE 820",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212021681",
            "telephone_number": "800-370-3651",
            "fax_number": "877-515-7147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4130 Kennygreen Ct",
            "address_purpose": "LOCATION",
            "city": "Randallstown",
            "state": "MD",
            "postal_code": "211335302",
            "country_code": "US",
            "telephone_number": "410-908-6207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OFOR",
        "first_name": "CHINEDU",
        "middle_name": "VINCENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-19",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R170513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.