Ahmed Adetola
Individual provider Active NPI Psychologist · Nottingham, MD
NPI 1003529520 · NPPES record last updated Aug 30, 2024
Key facts
- NPI
- 1003529520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 42 Henry Ave
Nottingham, MD 21236-4203 - Phone
- (570) 591-1738
- NPI assigned
- Dec 29, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Wellness Therapeutic Services | Current |
Accepting new patients | |
| Venus & Mars Psychotherapy, L.L.C. | Past |
Accepting new patients | |
| Harmony Holistic LLC | Psychologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
Addresses
Primary practice location
42 Henry Ave
Nottingham, MD 21236-4203
Mailing address
42 Henry Ave
Nottingham, MD 21236-4203
Phone (570) 591-1738
Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.