Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Momar Mboup

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1831066455

Momar Mboup is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2025, 1 year ago. Practices with Primehealth Behavioral Healthcare Services LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
1
Licensed in
MD
In the registry since
2025
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Practice location Address checks out

1101 N Point Blvd Ste 131
Baltimore, MD 21224-3417
Phone: (410) 508-0722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R189772 (MD)

Record details

NPI number1831066455
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 20, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Primehealth Behavioral Healthcare Services Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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