Sylvia Ibetoh

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R230257 Issued in MD

Practice address

8536 Golden Eagle LN
Severn, MD 21144-3156

Phone

(469) 274-3796

NPI assigned

Oct 16, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prosper Health and Behavioral Care Services

  • Psychiatry Physician
  • Windsor Mill, MD
  • NPI 1801572722
  Medicare reassignment

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1902772882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8536 GOLDEN EAGLE LN",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211443156",
            "telephone_number": "469-274-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8536 GOLDEN EAGLE LN",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211443156",
            "telephone_number": "469-274-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBETOH",
        "first_name": "SYLVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R230257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly H Housman, RN
• Anthony Hughley, RN
• Kim Hunter Nichols, OTR/L
• Sayyed Adil Hussain, FNP-C
• Olatunji Ismail Iberu-Olushoga, CRNP
• Linda Nwanyieze Idowu, LMSW
• Integrative Healing Journeys
• Laura Jeanne Ironman, M.S., CF-SLP
• Ruqayyah Jalloh, LGSW
• Garine Jeanphilippe

• Psychiatric/Mental Health Nurse Practitioner in Severn, MD
• Providers in Severn, 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 Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.