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ACTIVISION FIDELITY PSYCHIATRIC MENTAL HEALTH LLC
NPI 1952008880
Nurse Practitioner - Psychiatric/Mental Health in Upper Marlboro, MD

Active since February 10, 2023
2409 BAIKAL LOOP, UPPER MARLBORO, MD 20774(301) 907-1199(240) 342-3440 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 9, 2026, Feb 10, 2023 (2 updates tracked since 2023).

About Activision Fidelity Psychiatric Mental Health Llc NPPES

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

ACTIVISION FIDELITY PSYCHIATRIC MENTAL HEALTH LLC (NPI 1952008880) is a healthcare organization registered as a psychiatric/mental health in Upper Marlboro, Maryland and active in the NPI registry since February 2023. The organization lists Kenny Amanze, President, as its authorized official.

NPPES Registry Identity

NPI1952008880
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameACTIVISION FIDELITY PSYCHIATRIC MENTAL HEALTH LLC
Location Address2409 BAIKAL LOOPUpper Marlboro, MD 20774-7051
Mailing Address2409 Baikal LoopUpper Marlboro, MD 20774-7051 · (301) 907-1199
Phone(301) 907-1199
Fax(240) 342-3440
Organization SubpartNo
Authorized OfficialKenny AmanzePresident · (301) 907-1199
Enumeration DateFebruary 10, 2023
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1952008880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
2409 BAIKAL LOOP, Upper Marlboro, MD 20774
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Other Providers at the Same Location NPPES 2

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

FIRSTCHOICE HEALTH CARE INC
Home Health
2409 BAIKAL LOOP
UPPER MARLBORO, MD 20774
Prince George's County (301) 494-4770
DORIS ONOYE OSHINOWO MPIA
Case Manager/Care Coordinator
2409 BAIKAL LOOP
UPPER MARLBORO, MD 20774
Prince George's County (774) 277-0938

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 Activision Fidelity Psychiatric Mental Health LLC's NPI number?

The NPI number for Activision Fidelity Psychiatric Mental Health LLC is 1952008880. It was assigned to this organization in the NPPES registry on February 10, 2023.

Where is Activision Fidelity Psychiatric Mental Health LLC located?

Activision Fidelity Psychiatric Mental Health LLC is located at 2409 Baikal Loop, Upper Marlboro, MD 20774. The listed phone number is (301) 907-1199.

What is Activision Fidelity Psychiatric Mental Health LLC'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 Activision Fidelity Psychiatric Mental Health LLC was last updated on April 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.