Provider Demographics
NPI:1306302559
Name:MAPSYCHIATRY LLC
Entity type:Organization
Organization Name:MAPSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCH NP
Authorized Official - Prefix:
Authorized Official - First Name:MORONKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOYEWA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:240-462-5485
Mailing Address - Street 1:3611 CARA DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5438
Mailing Address - Country:US
Mailing Address - Phone:240-462-5485
Mailing Address - Fax:
Practice Address - Street 1:3611 CARA DR
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:MD
Practice Address - Zip Code:20774-5438
Practice Address - Country:US
Practice Address - Phone:240-462-5485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty