Healthcare Provider Details

I. General information

NPI: 1205587284
Provider Name (Legal Business Name): CHIAMAKA ADAKU NNAH RN, PMHNP-BC, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2022
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 FREDERICK RD STE 11
CATONSVILLE MD
21228-4607
US

IV. Provider business mailing address

3220 RIDGEWAY PL
WINDSOR MILL MD
21244-1021
US

V. Phone/Fax

Practice location:
  • Phone: 443-468-4838
  • Fax: 410-231-6333
Mailing address:
  • Phone: 443-857-5355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number0024195519
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1227868
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024195519
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR239396
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR239396
License Number StateMD
# 6
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberR239396
License Number StateMD
# 7
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberR239396
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: