NPIMap

Organization Active NPI

Jecc Health Associates, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1982149571
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R090124 Issued in MD
Legal business name
JECC HEALTH ASSOCIATES, LLC
Practice address
8600 Lasalle Road
Chester Building, Suite 321 2ND Floor
Towson, MD 21286
Phone
(443) 226-2459
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Mary Olandu, FNP-BC, PMHNP-BC, CR
Title
Owner
Phone
(443) 226-2459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X R090124 MD Primary

Addresses

Primary practice location

8600 Lasalle Road
Chester Building, Suite 321 2ND Floor
Towson, MD 21286

Mailing address

8600 Lasalle Road
Chester Building, Suite 321 2ND Floor
Towson, MD 21286
Phone (443) 226-2459

Other identifiers 1

IdentifierTypeStateIssuer
419384900MedicaidMD

Other names 1

  • JES Health Associates, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Jecc Health Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1982149571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 LASALLE ROAD",
            "address_2": "CHESTER BUILDING, SUITE 321 2ND FLOOR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "443-226-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 LASALLE ROAD",
            "address_2": "CHESTER BUILDING, SUITE 321 2ND FLOOR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "443-226-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JECC HEALTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "OLANDU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-226-2459",
        "authorized_official_credential": "FNP-BC, PMHNP-BC, CR"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R090124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419384900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JES Health Associates, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.