NPIMap

Organization Active NPI

Exousia Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Suitland, MD
National Provider Identifier
1003696238
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EXOUSIA BEHAVIORAL HEALTH, LLC
Practice address
5625 Allentown Rd Ste 106
Suitland, MD 20746-4521
Phone
(571) 409-1517
NPI assigned
Oct 4, 2023
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Oluwakemi Adedayo Aje, MDNPI 1720418627
Title
Medical Director/Ceo
Phone
(571) 409-1517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5625 Allentown Rd Ste 106
Suitland, MD 20746-4521

Mailing address

5625 Allentown Rd Ste 106
Suitland, MD 20746-4521
Phone (571) 409-1517

National Provider Directory

National Provider Directory
Tax ID family
Exousia Behavioral Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1003696238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 ALLENTOWN RD STE 106",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464521",
            "telephone_number": "571-409-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 ALLENTOWN RD STE 106",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464521",
            "telephone_number": "571-409-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXOUSIA BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "AJE",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_middle_name": "ADEDAYO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "571-409-1517",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suitland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.