MARITA ATEHAKOH FORMIN NP
NPI 1568827855
Nurse Practitioner - Psychiatric/Mental Health in Lanham, MD
About Marita Atehakoh Formin Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARITA ATEHAKOH FORMIN NP (NPI 1568827855) is an individual psychiatric/mental health provider in Lanham, Maryland, licensed in Maryland (R249853) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marita Atehakoh Formin Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANHAM, MD 20706
LANHAM, MD 20706
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 Marita Formin's NPI number?
The NPI number for Marita Formin is 1568827855. It was assigned to this individual provider in the NPPES registry on December 31, 2015. The provider is also known as Marita Atehakoh Formin Np.
Where is Marita Formin located?
Marita Formin practices at 7375 Executive Pl, Lanham, MD 20706. The listed phone number is (202) 940-2022.
What is Marita Formin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Marita Formin enrolled in Medicare?
Yes. Marita Formin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Marita Formin was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Marita Atehakoh Formin, NP · NPI 1568827855
Psychiatric/Mental Health physician in Lanham, Maryland. Individual provider, active in the CMS NPPES registry since December 31, 2015.
## Identity
- **NPI:** 1568827855 (Entity type: Individual)
- **Enumerated:** December 31, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R249853 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7375 EXECUTIVE PL, Lanham, MD 20706-2278
- **Phone:** (202) 940-2022
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1568827855) · Data from the CMS NPPES public registry.