NPIMap

Organization Active NPI

Covenant Psychiatric and Mental Health Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Washington, MD
National Provider Identifier
1235772575
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC
Practice address
8507 Oxon Hill Rd # S200-4
Fort Washington, MD 20744-4766
Phone
(301) 747-4460
Fax
(301) 747-4576
NPI assigned
Oct 18, 2019
Organization subpart
Yes
Parent organization
COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Folake AlobaNPI 1255753489
Title
Executive Director
Phone
(202) 361-5925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

8507 Oxon Hill Rd # S200-4
Fort Washington, MD 20744-4766

Mailing address

2607 Box Tree Dr
Upper Marlboro, MD 20774-9306
Phone (202) 361-5925

Other names 1

  • Covenant Psychiatric Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Covenant Psychiatric and Mental Health Services6 organizations share this tax ID, including this one
Part of
Covenant Psychiatric and Mental Health Services

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8507 Oxon Hill Rd
#S2004
Fort Washington, MD 20744
Phone (301) 747-4460

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1235772575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BOX TREE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749306",
            "telephone_number": "202-361-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8507 OXON HILL RD # S200-4",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444766",
            "telephone_number": "301-747-4460",
            "fax_number": "301-747-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "ALOBA",
        "authorized_official_first_name": "FOLAKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-361-5925"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "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": [
        {
            "organization_name": "Covenant Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Covenant Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.