NPIMap

Organization Active NPI

Associate Healthcare Services LLC

Doing business as AGNP Healthcare Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1891420923
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ASSOCIATE HEALTHCARE SERVICES LLC
Doing business as
AGNP Healthcare Services
Practice address
6 Park Center CT Ste 210
Owings Mills, MD 21117-5604
Phone
(410) 413-1628
Fax
(410) 413-1644
NPI assigned
Jul 21, 2022
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Augustina Olajumoke Opeewe-Ojo, PSYCHIATRIC NP: DOCTNPI 1457535437
Title
Medical Director
Phone
(443) 271-3013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

6 Park Center CT Ste 210
Owings Mills, MD 21117-5604

Mailing address

2007 Pawnee Rd
Middle River, MD 21220-3678
Phone (443) 271-3013

Other names 1

  • AGNP Healthcare Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230619000266 MD Part B Supplier - Clinic/Group Practice 8820456197 Receives reassigned benefits from 1 practitioner
Practice locations: Owings Mills, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891420923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 PAWNEE RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212203678",
            "telephone_number": "443-271-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARK CENTER CT STE 210",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175604",
            "telephone_number": "410-413-1628",
            "fax_number": "410-413-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OPEEWE-OJO",
        "authorized_official_first_name": "AUGUSTINA",
        "authorized_official_middle_name": "OLAJUMOKE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-271-3013",
        "authorized_official_credential": "PSYCHIATRIC NP: DOCT"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGNP Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.