MOSUNMOLA SANDRA LAKE DNP PMHNP-BC NPI 1275050288

NPI Details

Mosunmola Sandra Lake, DNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Berwyn Heights, MD with 10 years of experience. Mosunmola Sandra Lake, DNP, PMHNP-BC NPI is 1275050288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6215 GREENBELT RD STE 107
BERWYN HEIGHTS, MD
ZIP 20740-355
Phone: (301) 272-1558
Fax: (301) 272-1559

The NPI 1275050288 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 8/29/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: