Oladoyin Oladayo Adekola, DNP

Key facts

NPI: 1205547262
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: R209115 (MD)
Practice address: 5411 Old Frederick Rd Ste 6
Baltimore, MD 21229-2126
Phone: (240) 423-1872
NPI assigned: Dec 12, 2022
Sex: Female
Sole proprietor: Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Divine Wellness and Psychiatric Services Multi-Specialty Clinic/Center · Silver Spring, MD · NPI 1265110084

Medicare reassignment DC · MD
Divine Wellness and Psychiatric Services Mental Health Clinic/Center (Including Community Mental Health Center) · Gwynn Oak, MD · NPI 1336945443

NPD PSYCHIATRIC/MENTAL HEALTH

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2019
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10770 Columbia Pike
Suite 300
Silver Spring, MD 20901-4439
Phone (301) 665-0662

9220 Sewall Ave
Laurel, MD 20723-1889
Phone (301) 665-0662

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in MD, DC
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20230726000330	MD	Practitioner - Nurse Practitioner	3274999263	Reassigns benefits to 1 organization
I20231113002604	DC	Practitioner - Nurse Practitioner	3274999263	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Divine Wellness and Psychiatric Services	Psychiatric/Mental Health	Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Nurse	163W00000X	R209115	MD
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	R209115	MD	Yes

Addresses

Primary practice location

5411 Old Frederick Rd Ste 6
Baltimore, MD 21229-2126

Mailing address

9220 Sewall Ave
Laurel, MD 20723-1889
Phone (240) 423-1872

Other providers in Baltimore, MD

All providers in Baltimore, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.