AEGIS PSYCHOLOGICAL SERVICES (NPI# 1396389896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396389896 |
| Entity Type | Organization |
| Organization Name | AEGIS PSYCHOLOGICAL SERVICES |
| Practice Address |
144 Nina Lane Fruitland MD 21826 |
| Practice Telephone | 4433651017 |
| Mailing Telephone | 4433651017 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | MRS. RANI MATHEW GEORGE (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Telephone | 4433651017 |
| Authorized Official Credential | PMHNP |
| 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 |
| Street Address |
144 NINA LANE |
| City | FRUITLAND |
| State | MD |
| Zip Code | 21826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003050808 | Katheryn Ann Baker | Registered Nurse | 213 Garrisonway, Fruitland, MD 21826 | 2009-04-23 |
| 1568466530 | Maria Luisa Carey | Chiropractor | 103 Poplar Street, Fruitland, MD 21826 | 2005-06-08 |
| 1265575146 | Carey Chiropractic P.a. | Chiropractor | 103 Poplar Street, Fruitland, MD 21826 | 2007-02-14 |
| 1811516370 | Kelsey Alise Johnson | Behavior Technician | 201 Walden Dr, Fruitland, MD 21826-1331 | 2020-04-14 |
| 1093277360 | Katherine Elizabeth Perry | Speech-Language Pathologist | 208 W Main St, Fruitland, MD 21826-1659 | 2019-04-04 |
| 1043783111 | Carrie Mahle | Occupational Therapist | 108 W Main St, Fruitland, MD 21826-1663 | 2019-01-10 |
| 1891938148 | Fruitland Volunteer Fire Company Inc | Ambulance | 104 W Main St, Fruitland, MD 21826-1663 | 2009-04-16 |
| 1811504608 | Strive Sports Medicine Physical Therapy, LLC | Physical Therapist | 206 N Fruitland Blvd, Fruitland, MD 21826-1717 | 2020-09-25 |
| 1346713401 | Sharon Jones | Social Worker | 532 S Division St, Fruitland, MD 21826-1805 | 2019-01-10 |
| 1083151823 | Amanda Eberly | Social Worker | 188 Nina Ln, Fruitland, MD 21826-1900 | 2017-01-31 |
| Find all providers in zip 21826 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on AEGIS PSYCHOLOGICAL SERVICES.
| 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.