Provider Demographics
NPI:1457247355
Name:EDPROGIA HEALTH AND PSYCHIATRY LLC
Entity type:Organization
Organization Name:EDPROGIA HEALTH AND PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIDINMA
Authorized Official - Middle Name:
Authorized Official - Last Name:EZE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:443-806-9127
Mailing Address - Street 1:8609 SCHAPPELL WAY
Mailing Address - Street 2:
Mailing Address - City:JESSUP
Mailing Address - State:MD
Mailing Address - Zip Code:20794-4072
Mailing Address - Country:US
Mailing Address - Phone:443-806-9127
Mailing Address - Fax:410-701-3759
Practice Address - Street 1:8609 SCHAPPELL WAY
Practice Address - Street 2:
Practice Address - City:JESSUP
Practice Address - State:MD
Practice Address - Zip Code:20794-4072
Practice Address - Country:US
Practice Address - Phone:301-254-6807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)