Provider Demographics
NPI:1023349354
Name:MBA, CHIKAODI KAY (DNP, PMHNP-BC, MS,)
Entity type:Individual
Prefix:DR
First Name:CHIKAODI
Middle Name:KAY
Last Name:MBA
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC, MS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6030 MOOREHEAD RD
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1220
Mailing Address - Country:US
Mailing Address - Phone:410-747-4271
Mailing Address - Fax:
Practice Address - Street 1:6030 MOOREHEAD RD
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-1220
Practice Address - Country:US
Practice Address - Phone:443-416-1226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-27
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR181022163W00000X, 363LP0808X
MARN2385813363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse