NPIMap

Organization Active NPI

Excellent Healthcare & Psychiatric Rehabilitation Program Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1881295335
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EXCELLENT HEALTHCARE & PSYCHIATRIC REHABILITATION PROGRAM SERVICES INC
Practice address
4002 W Belvedere Ave Unit a
Baltimore, MD 21215-5502
Phone
(410) 984-7411
NPI assigned
Nov 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Mr. Innocent Akpuaka, RN
Title
President
Phone
(410) 984-7411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4002 W Belvedere Ave Unit a
Baltimore, MD 21215-5502

Mailing address

4002 W Belvedere Ave Unit a
Baltimore, MD 21215-5502

National Provider Directory

National Provider Directory
Tax ID family
Excellent Healthcare Psychiatric Rehabilitation Program Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1881295335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 W BELVEDERE AVE UNIT A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 W BELVEDERE AVE UNIT A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155502",
            "telephone_number": "410-984-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT HEALTHCARE & PSYCHIATRIC REHABILITATION PROGRAM SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "AKPUAKA",
        "authorized_official_first_name": "INNOCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-984-7411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Nov 2, 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.