NPIMap

Organization Active NPI

Peace Healthcare Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Parkville, MD
National Provider Identifier
1992314363
Registry record updated Jan 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PEACE HEALTHCARE INC
Practice address
8203 Harford Rd
Parkville, MD 21234-5888
Phone
(410) 499-4707
NPI assigned
Jul 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2023

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

Authorized official

Name
Priscilla BenewaahNPI 1053715508
Title
Authorized Official
Phone
(443) 687-9135

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

8203 Harford Rd
Parkville, MD 21234-5888

Mailing address

8116 Harford Rd Ste B
Parkville, MD 21234-5761
Phone (410) 499-4707

Other identifiers 1

IdentifierTypeStateIssuer
641209200MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EHR Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Peace Healthcare Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 1

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": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673740800000",
    "number": "1992314363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 HARFORD RD STE B",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345761",
            "telephone_number": "410-499-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345888",
            "telephone_number": "410-499-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-15",
        "status": "A",
        "authorized_official_last_name": "BENEWAAH",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "443-687-9135"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "641209200",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8203 Harford Rd",
            "city": "Parkville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212345888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2023; 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.