Divine Wellness and Psychiatric Services

Organization Active NPI Multi-Specialty Clinic/Center · Silver Spring, MD

NPI 1265110084 · NPPES record last updated Jun 17, 2026

Key facts

NPI
1265110084
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
DIVINE WELLNESS AND PSYCHIATRIC SERVICES
Practice address
10770 Columbia Pike Ste 300
Silver Spring, MD 20901-4439
Phone
(301) 665-0662
Fax
(949) 695-3269
NPI assigned
Jul 11, 2023
Organization subpart
No

Authorized official

Name
Oladoyin Adekola, CRNP-PMH
Title
President
Phone
(240) 423-1872

Corporate family (same tax ID) 1

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

Practitioners 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MD, DC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230726000254 MD Part B Supplier - Clinic/Group Practice 5092176966 Receives reassigned benefits from 1 practitioner
Practice locations: Gwynn Oak, MD; Laurel, MD
O20231113002241 DC Part B Supplier - Clinic/Group Practice 5092176966 Receives reassigned benefits from 2 practitioners
Practice locations: Silver Spring, MD

National Provider Directory

Tax ID family
Divine Wellness and Psychiatric Services (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

10770 Columbia Pike Ste 300
Silver Spring, MD 20901-4439

Mailing address

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

Other providers in Silver Spring, MD

All providers in Silver Spring, MD · Multi-Specialty Clinic/Center in Maryland

Sources for this page

Verify at the official NPI Registry.