Active NPI
Chinedu Vincent Ofor
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R170513
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R170513 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| People Encouraging People, Inc. | Current | Accepting new patients | |
| People Encouraging People, Inc. | Current | Accepting new patients | |
| New Era Mind Wellness | Current | 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.
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1033234240
-
- Adult Mental Health Clinic/Center
- Silver Spring, MD
- NPI 1619672383
-
- Community/Behavioral Health Agency
- Windsor Mill, MD
- NPI 1275829111
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.