OrganizationActive
Eshcol Behavioral Services LLC
NPI 1053073940 · Psychiatric/Mental Health Nurse Practitioner · Hanover, MD
Provider details
- NPI number
- 1053073940
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Akhere Gwan, Psychiatric Nurse Practitioner(617) 461-3856
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6223 Sweet Gum Ln
Hanover, MD 21076-2127
Phone: (617) 461-3856
Street-level locationGet directions
Mailing address
6223 Sweet Gum Ln
Hanover, MD 21076-2127
Other names (DBA / former)
- Former legal business name
- Eshcol Behavioral Services LLC
- Former legal business name
- Eshcol Behavioral Services LLC
Registry dates
- Enumerated
- 2021-10-08
- Last updated
- 2021-11-03
- Certified
- 2021-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.