Citadel Behavioral Healthcare Consulting LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CITADEL BEHAVIORAL HEALTHCARE CONSULTING LLC

Practice address

6492 Landover Rd Ste B3
Cheverly, MD 20785-1400

Phone

(240) 988-3779

NPI assigned

Jun 15, 2023

Last updated

Sep 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mutiat Popoola, NPNPI 1477169936

Title

Authorized Official/Owner

Phone

(240) 988-3779

Specialties & licenses 1

Addresses

Locations

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.

• Mutiat O. Popoola, NURSE PRACTITIONER

  • Nurse Practitioner
  • Brandywine, MD
  • NPI 1477169936
  Authorized official Same address or phone

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1013692367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9814 PASSAGE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724544",
            "telephone_number": "240-988-3779",
            "fax_number": "270-254-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6492 LANDOVER RD STE B3",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851400",
            "telephone_number": "240-988-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL BEHAVIORAL HEALTHCARE CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "POPOOLA",
        "authorized_official_first_name": "MUTIAT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "240-988-3779",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravikiran A Cherukuri, M.D.
• Cheverly Pediatrics
• Cheverly Primary Care, Inc.
• Cheverly Women Healthcare Inc.
• Nelson Cho
• Citadel Behavioral Healthcare Consulting LLC
• Leeroy Mark Clarke, M.D.
• Azeh Estel Cobbi
• Elizabeth Adetutu Coker-Nnam, M.A, NCC, LCPC
• Hope B Coleman, PHARM.D

• Nurse Practitioner in Cheverly, MD
• Providers in Cheverly, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.