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

Active since February 10, 2023
6475 NEW HAMPSHIRE AVE, HYATTSVILLE, MD 20783(301) 907-1199(240) 342-3440 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2026, Apr 9, 2026, Feb 10, 2023 (3 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 Hyattsville, 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 Address6475 NEW HAMPSHIRE AVEHyattsville, MD 20783-3269
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 UpdateAugust 10, 20263 updates tracked since enumeration
NPPES CertifiedAugust 10, 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
6475 NEW HAMPSHIRE AVE, Hyattsville, MD 20783
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Activision Fidelity Psychiatric Mental Health Llc 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 Activision Fidelity Psychiatric Mental Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenny Amanze, CRNP-PHM
Nurse Practitioner
NPI 1962168468
915 RHODE ISLAND AVE NW
Washington, DC 20001
(240) 643-5160
✔ PECOS3.2 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 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 6475 New Hampshire Ave, Hyattsville, MD 20783. 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.

Is Activision Fidelity Psychiatric Mental Health LLC enrolled in Medicare?

Yes. Activision Fidelity Psychiatric Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Activision Fidelity Psychiatric Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Activision Fidelity Psychiatric Mental Health 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.

When was this NPI record last updated?

The NPPES record for Activision Fidelity Psychiatric Mental Health LLC was last updated on August 10, 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.