PREMIER PSYCHIATRY, LLC (NPI# 1689281529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689281529 |
| Entity Type | Organization |
| Organization Name | PREMIER PSYCHIATRY, LLC |
| Practice Address |
10601 Virginia Ave Cockeysville MD 21030-2315 |
| Practice Telephone | 4433539184 |
| Mailing Telephone | 4437429167 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-10-31 |
| Authorized Official Name | MR. TROY G MODISETTE (OWNER/OPERATOR) |
| Authorized Official Telephone | 4437429167 |
| Authorized Official Credential | CRNP |
| 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 |
10601 VIRGINIA AVE |
| City | COCKEYSVILLE |
| State | MD |
| Zip Code | 21030-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450396 | Transcend Services Inc | Interpreter | 109-44 Beaver Dam Rd, Ste B, Hunt Valley, MD 21030 | 2019-10-30 |
| 1275015695 | Tiara Johnson | Behavior Technician | 201 International Circle, Hunt Valley, MD 21030 | 2018-09-01 |
| 1942795729 | Jackson's Nurse Practitioner Housecalls LLC | Family Medicine | 12 Kings Crossing Ct Apt L, Cockeysville, MD 21030 | 2018-06-25 |
| 1336653955 | A Nurse of Your Own & Co Recruitment Firm LLC | Hospice Care, Community Based | 6 Cedar Tree Ct Apt G, Cockeysville, MD 21030 | 2017-11-17 |
| 1871012278 | Jahnelle Danica Mclennan | Dentist | 5 Shawan Rd Ste 2, Hunt Valley, MD 21030 | 2017-09-17 |
| 1326423773 | Casey Ball | Case Management | 210 International Circle Suite 230, Hunt Valley, MD 21030 | 2015-07-28 |
| 1558705913 | Cortney J Johnstone | Occupational Therapist | 102 Lakefront Drive, Hunt Valley, MD 21030 | 2013-04-29 |
| 1104189257 | Hilary T Harrington | Counselor | 11311 Mccormick Road, 350, Hunt Valley, MD 21030 | 2012-06-22 |
| 1164715413 | Nichole Lea Edmond | Speech-Language Pathologist | 1508 Heather Hill Lane, Cockeysville, MD 21030 | 2011-05-19 |
| 1134440282 | Rabab Al-amin | Acupuncturist | 215 Wickersham Way, Cockeysville, MD 21030 | 2010-06-11 |
| Find all providers in zip 21030 | ||||
| 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 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| 1194331934 | Nkechi Patricia Jiabana | Nurse Practitioner | 8511 Harford Road, Parkville, MD 21234 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | COCKEYSVILLE |
| Zip Code | 21030 |
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| 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.