MICHAEL NWANDU DNP, PMHNP-BC, LLC


Address: 5702 Country Farm Road, White Marsh, MD 21162
Phone: 4435012444

MICHAEL NWANDU DNP, PMHNP-BC, LLC (NPI# 1285250191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285250191
Entity Type Organization
Organization Name MICHAEL NWANDU DNP, PMHNP-BC, LLC
Other Organization Name MNC WELLNESS CENTER
Practice Address 5702 Country Farm Road
White Marsh
MD 21162
Mailing Address 5702 Country Farm Rd
White Marsh
MD 21162-1723
Practice Telephone 4435012444
Practice Fax Number 4435835881
Mailing Telephone 4109007617
Enumeration Date 2020-06-17
Last Update Date 2020-06-29
Authorized Official Name MICHAEL NWANDU (DR/DIR.)
Authorized Official Telephone 4109007617
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
MNC Wellness center Other Name - Individual/Organization

Office Location

Street Address 5702 COUNTRY FARM ROAD
City WHITE MARSH
State MD
Zip Code 21162

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104168590 Justin Ryan Brooks General Practice 11500 Lipscomb Way, White Marsh, MD 21162 2013-03-23
1841410974 Glenn Paul Miller Dentist 11550 Philadelphia Road Suite #118, Whitemarsh, MD 21162 2007-04-30
1063722700 White Marsh Healthcare Physical Medicine LLC Chiropractor 5430 Campbell Blvd., Ste. 106, White Marsh, MD 21162 2010-10-15
1295881597 Sandra Shih Dentist 5430 Campbell Blvd, Suite 209, White Marsh, MD 21162 2007-01-27
1487769915 Lorraine Ofori-awuah Md Pa Clinic/Center 5430 Campbell Blvd, Ste 214, White Marsh, MD 21162 2006-08-21
1275164139 Maria Lourdes Evangelista Nurse Practitioner 5728 Fieldcrest Dr, White Marsh, MD 21162-1143 2020-01-30
1730669771 Marilyn C Hernandez Nurse Practitioner 5700 Fieldcrest Dr, White Marsh, MD 21162-1143 2018-08-20
1639635584 Rebecca Dawn Rock Social Worker 5717 Fieldcrest Dr, White Marsh, MD 21162-1144 2019-02-15
1508245564 Watermark Health Services LLC Home Health 11511 Ridgedale Dr, White Marsh, MD 21162-1146 2015-05-23
1275845521 Martha Angela Montemar Physical Therapist 5606 Crescent Ridge Dr, White Marsh, MD 21162-1149 2010-07-01
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

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1881209815 Stride Forward Counseling LLC Clinic/Center 9 Newburg Ave Ste 102, Catonsville, MD 21228-5157 2020-09-15
1033724513 S and S Properties 3 Clinic/Center 6122 Reisterstown Rd, Baltimore, MD 21215-3423 2020-09-11
1205440195 Kevin Eugene Harvell Clinic/Center 3435 Greenmount Ave Ste 1, Baltimore, MD 21218-2942 2020-09-08
1528679834 Erc Maryland Clinic/Center 7505 Osler Dr Ste 405, Towson, MD 21204-7739 2020-08-11
1245879386 Anne Arundel County, Maryland Clinic/Center 839 Bestgate Rd Ste 300, Annapolis, MD 21401-3473 2020-01-06
1720627581 Johns Hopkins Bayview Medical Center, Inc. Clinic/Center 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 2019-12-27
1841847241 Imperial Healthcare Services LLC Clinic/Center 547 Riverside Dr Ste A, Salisbury, MD 21801-5369 2019-08-20
1437714862 Bolton Therapy & Wellness Clinic/Center 1534 Bolton St Ste 1, Baltimore, MD 21217-4203 2019-05-01
1497213581 Pathways Inc Clinic/Center 2670 Crain Hwy Ste 300, Waldorf, MD 20601-2817 2019-03-07
1629553037 Win Team, LLC Clinic/Center 7 Pleasant View Chrurch Road, Port Deposit, MD 21904 2018-10-02
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Competitor

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City WHITE MARSH
Zip Code 21162

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Dataset Information

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.

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