Active NPI
Debiyke Health Services Inc
- Community/Behavioral Health Agency
- Upper Marlboro, MD
National Provider Identifier
1215752191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- DEBIYKE HEALTH SERVICES INC
- Practice address
- 13621 Water Fowl Way
Upper Marlboro, MD 20774-7115 - Phone
- (614) 747-0540
- NPI assigned
- Nov 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doris Ofodile
- Title
- Administrator
- Phone
- (202) 602-9909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
13621 Water Fowl Way
Upper Marlboro, MD 20774-7115
Mailing address
13621 Water Fowl Way
Upper Marlboro, MD 20774-7115
Phone (614) 747-3460
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732320000000",
"number": "1215752191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13621 WATER FOWL WAY",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207747115",
"telephone_number": "614-747-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13621 WATER FOWL WAY",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207747115",
"telephone_number": "614-747-0540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBIYKE HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-23",
"certification_date": "2024-11-23",
"status": "A",
"authorized_official_last_name": "OFODILE",
"authorized_official_first_name": "DORIS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "202-602-9909"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.