Active NPI
Adekomi Psychiatric Services LLC
- Community/Behavioral Health Agency
- Owings Mills, MD
National Provider Identifier
1255949871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ADEKOMI PSYCHIATRIC SERVICES LLC
- Practice address
- 4515 Hidden Stream CT
Owings Mills, MD 21117-4837 - Phone
- (410) 300-6461
- NPI assigned
- Jul 20, 2020
- Last updated
- Jan 16, 2025
- 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
- Mr. Rilwan Odewale
- Title
- Administrative Assistant
- Phone
- (410) 963-2660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
4515 Hidden Stream CT
Owings Mills, MD 21117-4837
Mailing address
611 Frederick Rd Ste 101
Baltimore, MD 21228-4779
Phone (410) 300-6461
Other practice location 1
5411 Old Frederick Rd Ste 7
Baltimore, MD 21229-2126
Phone (410) 744-4579
National Provider Directory
National Provider Directory- Tax ID family
- Adekomi Psychiatric Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric/Mental Health Nurse Practitioner
- Owings Mills, MD
- NPI 1447716170
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Owings Mills, MD
- NPI 1184175697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736985600000",
"number": "1255949871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 FREDERICK RD STE 101",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212284779",
"telephone_number": "410-300-6461",
"fax_number": "410-744-4253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 HIDDEN STREAM CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174837",
"telephone_number": "410-300-6461"
}
],
"practiceLocations": [
{
"address_1": "5411 Old Frederick Rd Ste 7",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212292126",
"country_code": "US",
"telephone_number": "410-744-4579",
"fax_number": "410-744-4253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ADEKOMI PSYCHIATRIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-20",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A",
"authorized_official_last_name": "ODEWALE",
"authorized_official_first_name": "RILWAN",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "410-963-2660",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.