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
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- District Wellness Consulting
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- Diversity Health Clinic, LLC
- Agnes Therese Enopia Divinagracia
- Divine Chiropractic and Rehabilitation LLC
- Atoinette Leslie Diwongui Ekane Epse Fankam
- Devon Harold Dixon
- Michael Jan Dixon
- Mirna Dizelos
- Tarik Djamil
All providers in Silver Spring, MD · Multi-Specialty Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.