NPIMap

Organization Active NPI

Ijkl Services Incorporated

Doing business as Pax Health Services

  • Psychiatry Physician
  • Towson, MD
National Provider Identifier
1902498462
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
IJKL SERVICES INCORPORATED
Doing business as
Pax Health Services
Practice address
8600 Lasalle Rd
Ste 321
Towson, MD 21286-2011
Phone
(443) 985-0391
NPI assigned
Feb 6, 2021
Last updated
Nov 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Justina Ugorji, NPNPI 1437796901
Title
Owner
Phone
(443) 985-0391

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

8600 Lasalle Rd
Ste 321
Towson, MD 21286-2011

Mailing address

3 Tokay CT
Randallstown, MD 21133-3729
Phone (443) 985-0391

Other names 1

  • PAX HEALTH SERVICES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260601001213 MD Part B Supplier - Clinic/Group Practice 7113317355 Receives reassigned benefits from 1 practitioner
Practice locations: Towson, MD

National Provider Directory

National Provider Directory

Locations

8600 La Salle Rd
Ste 321
Towson, MD 21286
Phone (410) 328-1219

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": "1612569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1902498462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TOKAY CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333729",
            "telephone_number": "443-985-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 LASALLE RD",
            "address_2": "STE 321",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862011",
            "telephone_number": "443-985-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IJKL SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-11-30",
        "certification_date": "2021-08-01",
        "status": "A",
        "authorized_official_last_name": "UGORJI",
        "authorized_official_first_name": "JUSTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-985-0391",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAX HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.