Peak Wellness Therapeutic Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PEAK WELLNESS THERAPEUTIC SERVICES

Practice address

42 Henry Ave
Nottingham, MD 21236-4203

Phone

(570) 591-1738

NPI assigned

Aug 14, 2024

Last updated

Aug 30, 2024By 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

Dr. Ahmed Adetola, PSY.DNPI 1003529520

Title

Owner

Phone

(410) 900-2635

Specialties & licenses 1

Addresses

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.

• Ahmed Adetola

  • Psychologist
  • Nottingham, MD
  • NPI 1003529520
  NPD Authorized official

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1073345526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 HENRY AVE",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364203",
            "telephone_number": "570-591-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 HENRY AVE",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364203",
            "telephone_number": "570-591-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK WELLNESS THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "ADETOLA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-900-2635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer H Patrick, PT
• Jennifer Leigh Patrick, COTA/L
• Jasmine Patterson
• Jeffrey Eugene Paup
• Alexandra Paz Y Mino, LCSW-C
• Latoya Peggott, FNP-C
• Kristin Lynn Pennewill, MA, BCBA
• Perry Hall Dental Care, P.C.
• Loredana Petrucci, PH.D
• Phaze Counseling Services Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.