Individual provider Active NPI

Linda Ifeoma Ogbodo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Monrovia, MD
National Provider Identifier
1881343366
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R230584 Issued in MD
Practice address
10923 Louis Detrick LN
Monrovia, MD 21770-6024
Phone
(707) 637-6859
NPI assigned
Mar 22, 2022
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 R230584 MD Primary

Addresses

Primary practice location

10923 Louis Detrick LN
Monrovia, MD 21770-6024

Mailing address

10923 Louis Detrick LN
Monrovia, MD 21770-6024
Phone (707) 637-6859

Other practice location 1

1004 Littlestown Pike Ste A
Westminster, MD 21157-3007
Phone (707) 637-6859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260323000343 MD Practitioner - Nurse Practitioner 7113401068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10923 Louis Detrick LN
Monrovia, MD 21770-6024

176 Thomas Johnson Dr
Suite 203
Frederick, MD 21702-4410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R230584MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Health LLC Psychiatric/Mental Health CurrentSince Sep 29, 2024 Accepting new patients

Locations

176 Thomas Johnson Dr
Ste 203
Frederick, MD 21702
Phone (240) 315-4541

Organizations & group practices 1

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": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1881343366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10923 LOUIS DETRICK LN",
            "city": "MONROVIA",
            "state": "MD",
            "postal_code": "217706024",
            "telephone_number": "707-637-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10923 LOUIS DETRICK LN",
            "city": "MONROVIA",
            "state": "MD",
            "postal_code": "217706024",
            "telephone_number": "707-637-6859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Littlestown Pike Ste A",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211573007",
            "country_code": "US",
            "telephone_number": "707-637-6859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGBODO",
        "first_name": "LINDA",
        "middle_name": "IFEOMA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R230584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, MD

Sources for this page

Verify at the official NPI Registry.