Divine Health Psychiatric Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DIVINE HEALTH PSYCHIATRIC SERVICES LLC

Practice address

117 E Cherry Hill Rd
Reisterstown, MD 21136-3023

Phone

(443) 244-1221

NPI assigned

May 20, 2026

Organization subpart

No

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

Authorized official

Name

Emmanuel A GbalaNPI 1245862648

Title

Clinical Director

Phone

(443) 244-1221

Specialties & licenses 1

Addresses

Practitioners 2

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

• Emmanuel A Gbala

  • Psychiatric/Mental Health Nurse Practitioner
  • Reisterstown, MD
  • NPI 1245862648

  Single Specialty

  NPD Authorized official
• Esther Gbala

  • Behavior Technician
  • Reisterstown, MD
  • NPI 1740124551

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1174453328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E CHERRY HILL RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363023",
            "telephone_number": "443-244-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E CHERRY HILL RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363023",
            "telephone_number": "443-244-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HEALTH PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "GBALA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "443-244-1221"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Deschamps, LCSW-C, MSED
• DHJ Healthcare LLC.
• Gustavo Nicolas Diaz Revelo
• Eileen B Diener, LMSW
• Direct Behavioral Health Care Services
• Divine Health Psychiatric Services LLC
• Nicky Dolla
• Barbara Ann Donohoe, R.N.
• Donovinci LLC (ameriCARE Mid-Atlantic)
• Dr. Stuart T. Zaller, DDS, LLC

• Psychiatric/Mental Health Nurse Practitioner in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.