CHIVIC HEALTHCARE SERVICES LLC
NPI 1730784398
Nurse Practitioner - Psychiatric/Mental Health in Lanham, MD
About Chivic Healthcare Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHIVIC HEALTHCARE SERVICES LLC (NPI 1730784398) is a healthcare organization registered as a psychiatric/mental health in Lanham, Maryland and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Ndidiamaka Ezinne Mbakpuo, Managing Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chivic Healthcare Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Chivic Healthcare Services LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2228694
Chivic Healthcare Services LLC · Lanham, MDFrequently 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 Chivic Healthcare Services LLC's NPI number?
The NPI number for Chivic Healthcare Services LLC is 1730784398. It was assigned to this organization in the NPPES registry on December 2, 2020.
Where is Chivic Healthcare Services LLC located?
Chivic Healthcare Services LLC is located at 9470 Annapolis Rd Ste 416, Lanham, MD 20706. The listed phone number is (202) 735-1010.
What is Chivic Healthcare Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Chivic Healthcare Services LLC enrolled in Medicare?
Yes. Chivic Healthcare Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chivic Healthcare Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Chivic Healthcare Services LLC. 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.
Does Chivic Healthcare Services LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2228694) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Chivic Healthcare Services LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Chivic Healthcare Services Llc · NPI 1730784398
Psychiatric/Mental Health organization in Lanham, Maryland. Organization record, active in the CMS NPPES registry since December 2, 2020.
## Identity
- **NPI:** 1730784398 (Entity type: Organization)
- **Enumerated:** December 2, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Ndidiamaka Mbakpuo, MANAGING DIRECTOR
## Practice location
- **Address:** 9470 ANNAPOLIS RD STE 416, Lanham, MD 20706-3000
- **Phone:** (202) 735-1010
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730784398) · Data from the CMS NPPES public registry.