Active NPI
Ophilia N. Mbah X, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Washington, DC
National Provider Identifier
1962879395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R205445
- Practice address
- 6856 Eastern Ave NW
Washington, DC 20012 - Phone
- (202) 545-6980
- NPI assigned
- Sep 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1028515 | DC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R205445 | MD | Primary |
Addresses
Primary practice location
6856 Eastern Ave NW
Washington, DC 20012
Mailing address
4703 Old Soper Rd
Suite R-1
Camp Springs, MD 20746
Phone (240) 249-0989
Other names 1
- Ophilia N. Toh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6810 Park Heights Ave
C6
Baltimore, MD 21215-1641
Phone (443) 538-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1028515 | DC | MD | Registered Nurse |
| R205445 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unique Minds Behavioral Health Services | Current | Accepting new patients | |
| Unique Minds Behavioral Health Services, LLC | Current | Accepting new patients |
Locations
1402 N Capitol St NW
#1
Washington, DC 20002
Phone (443) 538-8400
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1609484039
DC
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Delaware, OH
- NPI 1669362653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1962879395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4703 OLD SOPER RD",
"address_2": "SUITE R-1",
"city": "CAMP SPRINGS",
"state": "MD",
"postal_code": "20746",
"telephone_number": "240-249-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6856 EASTERN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20012",
"telephone_number": "202-545-6980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBAH",
"first_name": "OPHILIA",
"middle_name": "N.",
"name_suffix": "X",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-02",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1028515",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R205445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OPHILIA",
"last_name": "TOH",
"middle_name": "N.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.