Organization Active NPI

Debiyke Health Services Inc

  • Community/Behavioral Health Agency
  • Upper Marlboro, MD
National Provider Identifier
1215752191
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Nov 23, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.