Active NPI
Sunday Ezekiel Ayodele, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP1033776
- Practice address
- 3291 Fort Lincoln Dr NE
Washington, DC 20018-4316 - Phone
- (202) 607-5164
- NPI assigned
- Oct 11, 2022
- Last updated
- Oct 11, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP1033776 | DC | Primary |
Addresses
Primary practice location
3291 Fort Lincoln Dr NE
Washington, DC 20018-4316
Mailing address
3291 Fort Lincoln Dr NE
Washington, DC 20018-4316
Phone (202) 607-5164
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | WWW. | Health Information Exchange (HIE) | |
| FHIR URL | WWW. | Health Information Exchange (HIE) | |
| FHIR URL | WWW | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12073 Tech Rd
Suite B
Silver Spring, MD 20904-7874
Phone (301) 593-1315
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP1033776 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychogeriatric Services LLC | Single Specialty | Current | Accepting new patients |
Locations
4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1063137156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3291 FORT LINCOLN DR NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200184316",
"telephone_number": "202-607-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3291 FORT LINCOLN DR NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200184316",
"telephone_number": "202-607-5164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYODELE",
"first_name": "SUNDAY",
"middle_name": "EZEKIEL",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-11",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "NP1033776",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "WWW.",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3291 Fort Lincoln Dr NE",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200184316",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "WWW.",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3291 Fort Lincoln Dr NE",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200184316",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "WWW",
"affiliation": "N",
"endpointDescription": "API",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3291 Fort Lincoln Dr NE",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200184316",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.