E-PSYCHIATRIQ LLC (NPI# 1154955011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154955011 |
| Entity Type | Organization |
| Organization Name | E-PSYCHIATRIQ LLC |
| Practice Address |
5004 Honeygo Center Drive Suite 102 #197 Perry Hall MD 21128 |
| Practice Telephone | 4109296858 |
| Mailing Telephone | 4109296858 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | DR. LISA LANETTE BROWN (OWNER) |
| Authorized Official Telephone | 4109296858 |
| Authorized Official Credential | DNP, PMHNP, FNP- |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1285035592 | 05 |
| Other Name | Type Code |
|---|---|
| E-Psychiatriq LLC, telehealth | Former Legal Business Name - Organization |
| Street Address |
5004 HONEYGO CENTER DRIVE SUITE 102 #197 |
| City | PERRY HALL |
| State | MD |
| Zip Code | 21128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043705502 | C and C Loving Heart Health Care Agency | Nursing Care | 5122 Crest Haven Way, Perry Hall, MD 21128 | 2018-06-27 |
| 1285995241 | Caren R Williams | Nurse Practitioner | 5009 Honeygo Center Drive, Suite 225, Perry Hall, MD 21128 | 2012-06-06 |
| 1336449677 | Indira P Rallapalli | Pharmacist | 9645 Belair Road, Perry Hall, MD 21128 | 2010-11-02 |
| 1942484209 | Jeff Zhang | Orthopaedic Surgery | 5110 Hugunin Way, Perry Hall, MD 21128 | 2007-12-21 |
| 1023047040 | Nai Saturn Eastern LLC | Durable Medical Equipment & Medical Supplies | 9645 Belair Rd, Perry Hall, MD 21128 | 2006-07-02 |
| 1386604593 | J Nicholas Leyko Dds Pa | Dentist | 4204 Forge Road, Perry Hall, MD 21128 | 2006-03-23 |
| 1205447539 | Nai Saturn Eastern LLC | Durable Medical Equipment & Medical Supplies | 9645 Belair Rd, Perry Hall, MD 21128 | 2020-08-11 |
| 1194115287 | Joseph Alexander Yurek Jr. | Pharmacy Technician | 6 Farm Brook Ct, Perry Hall, MD 21128-8808 | 2015-01-28 |
| 1528443629 | Olumide Savage | Occupational Therapist | 8814 Baileys Ct, Perry Hall, MD 21128-8814 | 2015-07-30 |
| 1902226160 | Oluwafemi Ikusika | General Acute Care Hospital | 8803 Baileys Ct, Perry Hall, MD 21128-8815 | 2014-04-25 |
| Find all providers in zip 21128 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1821697533 | Brighter Days Recovery Center | Nurse Practitioner | 2439 E Lafayette Ave, Baltimore, MD 21213-2562 | 2020-10-23 |
| 1033718762 | White Plains Primary Care | Nurse Practitioner | 50 Post Office Rd Ste 304, Waldorf, MD 20602-3704 | 2020-10-23 |
| 1245839653 | Itoro Abatai | Nurse Practitioner | 9620 Maxwell Rd, Middle River, MD 21220-3792 | 2020-10-19 |
| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | PERRY HALL |
| Zip Code | 21128 |
Please comment or provide details below to improve the information on E-PSYCHIATRIQ LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.