Organization Active NPI

Citadel Services LLC

  • Psychiatry Physician
  • Largo, MD
National Provider Identifier
1053908046
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CITADEL SERVICES LLC
Practice address
1400 Mercantile LN Ste 116
Largo, MD 20774-5355
Phone
(240) 695-4844
Fax
(301) 235-3956
NPI assigned
Dec 24, 2020
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Aminata Bangura, NPNPI 1740841030
Title
Owner
Phone
(240) 695-4844

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1400 Mercantile LN Ste 116
Largo, MD 20774-5355

Mailing address

1400 Mercantile LN Ste 116
Largo, MD 20774-5355
Phone (240) 695-4844

Other names 1

  • CITADEL SERVICES Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210311000129 DC Part B Supplier - Clinic/Group Practice 6103232475 Receives reassigned benefits from 1 practitioner
Practice locations: Largo, MD

National Provider Directory

National Provider Directory

Locations

1400 Mercantile Ln
Ste 116
Upper Marlboro, MD 20774
Phone (240) 695-4844

Practitioners & affiliated clinicians

Practitioners 2

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": "1608768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1053908046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN STE 116",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745355",
            "telephone_number": "240-695-4844",
            "fax_number": "301-235-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCANTILE LN STE 116",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745355",
            "telephone_number": "240-695-4844",
            "fax_number": "301-235-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "BANGURA",
        "authorized_official_first_name": "AMINATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-695-4844",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITADEL SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "CITADEL SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.