LYDIA NDI EJACHA
NPI 1245590983
Nurse Practitioner - Psychiatric/Mental Health in Clinton, MD

Active since May 28, 2012
9135 PISCATAWAY RD STE 410, CLINTON, MD 20735(240) 688-5033 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lydia Ndi Ejacha NPPES

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

LYDIA NDI EJACHA (NPI 1245590983) is an individual psychiatric/mental health provider in Clinton, Maryland, licensed in Maryland (R229134) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1245590983
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLYDIA NDI EJACHA
Location Address9135 PISCATAWAY RD STE 410Clinton, MD 20735-2555
Mailing Address780 Fairview Ave, 302Takoma Park, MD 20912-5978
Sole ProprietorNo
Enumeration DateMay 28, 2012
Last NPPES UpdateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
NPI 1245590983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · R229134
9135 PISCATAWAY RD STE 410, Clinton, MD 20735

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735
Clinic/Center (Health Service)
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735
Psychiatry & Neurology (Neurology)
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735
Community/Behavioral Health
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735
Clinic/Center (Mental Health (Including Community Mental Health Center))
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735
Case Manager/Care Coordinator
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735
Clinic/Center (Dental)
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735
Clinic/Center (Multi-Specialty)
9135 PISCATAWAY RD STE 410
CLINTON, MD 20735

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 Lydia Ejacha's NPI number?

The NPI number for Lydia Ejacha is 1245590983. It was assigned to this individual provider in the NPPES registry on May 28, 2012.

Where is Lydia Ejacha located?

Lydia Ejacha practices at 9135 Piscataway Rd Ste 410, Clinton, MD 20735. The listed phone number is (240) 688-5033.

What is Lydia Ejacha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lydia Ejacha was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.