Probity Healthcare Services & Clinic, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PROBITY HEALTHCARE SERVICES & CLINIC, LLC

Practice address

6201 Greenbelt Rd Ste U15
Berwyn Heights, MD 20740-2347

Phone

(301) 254-6807

NPI assigned

Jun 11, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Dominic Eze

Title

Director

Phone

(301) 388-6091

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1871086298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SAINT MICHAELS CIR",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131073",
            "telephone_number": "301-254-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 GREENBELT RD STE U15",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402347",
            "telephone_number": "301-254-6807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Saint Michaels Cir",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "21113",
            "country_code": "US",
            "telephone_number": "301-254-6807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROBITY HEALTHCARE SERVICES & CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-388-6091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Berwyn Heights, MD
• Providers in Berwyn Heights, 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 Feb 10, 2020; 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.