Basil E Fomanka
Nurse Practitioner - Psych/Mental Health
6200 Baltimore Ave, 300-r9, Riverdale
Maryland, 20737-1054
443-520-8138
Basil E Fomanka is a Riverdale, Maryland based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Basil E Fomanka is R198010 for Psych/Mental Health in Maryland. His current practice location is 6200 Baltimore Ave, 300-r9, Riverdale. Patients can reach him at 443-520-8138 with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1013621010.
Basil E Fomanka provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Basil E Fomanka speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Basil E Fomanka |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Male |
| Practice Address: | 6200 Baltimore Ave, 300-r9, Riverdale,
Maryland, 20737-1054 |
| Phone: | 443-520-8138 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1013621010 |
| NPI Enumeration Date: | 13 Jan, 2023 |
| NPI Last Update On: | 18 Sep, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Basil E Fomanka are as mentioned below.
| License Number | Specialization | State | Status | |
| R198010 | Psych/Mental Health | Maryland | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Basil E Fomanka
6200 Baltimore Ave Ste 300-r9,
Riverdale, Maryland |
| Zip: | 20737-1054 |
| Phone Number: | 443-520-8138 |
Patients can reach Basil E Fomanka at
6200 Baltimore Ave, 300-r9, Riverdale, Maryland or can
call to book an appointment on 443-520-8138.
Comments/ Reviews:
Patients can read all the reviews posted for Basil E Fomanka below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Basil E Fomanka. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.