MCNOLAN HEALTHCARE SERVICES
NPI 1114604410
Clinic/Center - Mental Health (Including Community Mental Health Center) in Aberdeen, MD

Active since June 29, 2023
1330 N SEWARDS CT, ABERDEEN, MD 21001(646) 965-0900 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mcnolan Healthcare Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCNOLAN HEALTHCARE SERVICES (NPI 1114604410) is a healthcare organization registered as a mental health (including community mental health center) in Aberdeen, Maryland and active in the NPI registry since June 2023. The organization lists Shilla Pokuaa, President, as its authorized official.

NPPES Registry Identity

NPI1114604410
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMCNOLAN HEALTHCARE SERVICES
Location Address1330 N SEWARDS CTAberdeen, MD 21001-3955
Mailing Address1330 N Sewards CtAberdeen, MD 21001-3955 · (646) 965-0900
Organization SubpartNo
Authorized OfficialShilla PokuaaPresident · (646) 965-0900
Enumeration DateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1114604410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1330 N SEWARDS CT, Aberdeen, MD 21001

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mcnolan Healthcare Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mcnolan Healthcare Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1417455585
125 S PHILADELPHIA BLVD
Aberdeen, MD 21001
(443) 692-2013
✔ PECOS✔ Accepts Medicare2.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mcnolan Healthcare Services's NPI number?

The NPI number for Mcnolan Healthcare Services is 1114604410. It was assigned to this organization in the NPPES registry on June 29, 2023.

Where is Mcnolan Healthcare Services located?

Mcnolan Healthcare Services is located at 1330 N Sewards Ct, Aberdeen, MD 21001. The listed phone number is (646) 965-0900.

What is Mcnolan Healthcare Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Mcnolan Healthcare Services enrolled in Medicare?

Yes. Mcnolan Healthcare Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mcnolan Healthcare Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mcnolan Healthcare Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mcnolan Healthcare Services was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.