Chance for Life Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CHANCE FOR LIFE INC

Practice address

6490 Landover Rd Ste F6
Cheverly, MD 20785-1443

Phone

(202) 487-9587

Fax

(240) 770-7529

NPI assigned

Nov 12, 2024

Organization subpart

No

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

Authorized official

Name

Oluwakemi Fagbuyi, MSN, APRN, PMHNP-BCNPI 1972327617

Title

Owner of Entity

Phone

(202) 487-9587

Specialties & licenses 2

Addresses

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oluwakemi Fagbuyi, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cheverly, MD
  • NPI 1972327617

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1104640663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 MORNING GLORY TRL",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204264",
            "telephone_number": "202-487-9587",
            "fax_number": "240-770-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 LANDOVER RD STE F6",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851443",
            "telephone_number": "202-487-9587",
            "fax_number": "240-770-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCE FOR LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "FAGBUYI",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "202-487-9587",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Cheverly, MD
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.