Bose Ajayi
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Washington, DC
NPI 1043882533 · NPPES record last updated Aug 1, 2025
Key facts
- NPI
- 1043882533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- NP1024705 (DC)
- Practice address
- 800 Maine Ave SW
Washington, DC 20024-2805 - Phone
- (202) 730-5436
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Columbia Associates in Psychiatry PC
Practice addresses (Care Compare)
24560 Southpoint Dr
Suite 260
Aldie, VA 20105-3505
Phone (571) 248-7493
2501 N Glebe Rd
Suite 303
Arlington, VA 22207-3558
Phone (703) 841-1290
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220120000110 | DC | Practitioner - Nurse Practitioner | 8325430580 | Reassigns benefits to 3 organizations |
| I20221117002764 | VA | Practitioner - Nurse Practitioner | 8325430580 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NONE | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
| NP1024705 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current |
Accepting new patients |
| Guiding-Light Behaverol Health | Psychiatric/Mental Health | Current |
Accepting new patients |
| Columbia Associates in Psychiatry PC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
800 Maine Ave SW
Washington, DC 20024
Phone (202) 730-5436
24560 Southpoint Dr
Ste 260
Aldie, VA 20105
Phone (571) 248-7472
2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519
8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159
2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764
24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NONE | DC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP1024705 | DC | Yes |
Addresses
Primary practice location
800 Maine Ave SW
Washington, DC 20024-2805
Mailing address
8280 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4516
Phone (202) 730-5436
Other practice location 1
8280 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4516
Phone (202) 730-5436
Other providers in Washington, DC
- Fehintola Ajao
- Olubunmi Ajao
- Dede Dela Ajavon
- Safuratu Ajayi Porter
- Abiola Adenike Ajayi
- Elizabeth Ajayi
- Emmanuel Ajayi
- Florence Ajayi
- Isaiah Adedayo Ajayi
- Modupe Ajayi
All providers in Washington, DC · Psychiatric/Mental Health Nurse Practitioner in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.