NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Legacy Medical Clinic With Mental Health, LLC

Psychiatric/Mental Health Nurse Practitioner in Temple Hills, MD · enumerated 2020 · authorized official Chuks Nwaulu, Owner of the Entity.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912518952

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Legacy Medical Clinic With Mental Health, LLC
Practice address 4700 Stamp Rd Ste K, Temple Hills, MD, 20748
Phone (301) 880-4900
Fax (301) 477-4673
Enumeration date Aug 13, 2020
Last updated in NPPES Aug 13, 2020

Taxonomy & classification

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Chuks Nwaulu
Title Owner of the Entity
Phone (301) 880-4900

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Legacy Medical Clinic With Mental Health, LLC?
Legacy Medical Clinic With Mental Health, LLC is registered in NPPES as a Psychiatric/Mental Health Nurse Practitioner (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-13.