Individual provider Active NPI

Onyeanwuna Patrick Okpah

  • Psychiatric/Mental Health Nurse Practitioner
  • Nottingham, MD
National Provider Identifier
1952099178
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R212081 Issued in MD
Practice address
7834 Rolling View Ave
Nottingham, MD 21236-3635
Phone
(443) 425-9448
NPI assigned
Apr 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R212081 MD Primary
Mental Health Counselor 101YM0800X R212081 MD

Addresses

Primary practice location

7834 Rolling View Ave
Nottingham, MD 21236-3635

Mailing address

7834 Rolling View Ave
Nottingham, MD 21236-3635
Phone (443) 600-3892

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
I20240829000629 MD Practitioner - Nurse Practitioner 1052850419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transformation Healthcare IncGroup PAC ID 8921419029, 4 clinicians

Practice addresses (Care Compare)

7060 Oakland Mills Rd
Suite L
Columbia, MD 21046-1560
Phone (240) 374-3801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Focusmind Healthcare Psychiatric/Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Transformation Healthcare Inc. CurrentSince Aug 12, 2024 Accepting new patients
Transformation Healthcare Inc. CurrentSince Aug 12, 2024 Accepting new patients

Locations

6212 York Rd
Baltimore, MD 21212
Phone (240) 374-3801

6801 Oak Hall Ln
Unit 6462
Columbia, MD 21045

7060 Oakland Mills Rd
Ste L
Columbia, MD 21046
Phone (240) 374-3801

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1952099178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7834 ROLLING VIEW AVE",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363635",
            "telephone_number": "443-600-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7834 ROLLING VIEW AVE",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363635",
            "telephone_number": "443-425-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPAH",
        "first_name": "ONYEANWUNA",
        "middle_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R212081",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "R212081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.