Active NPI
Gilead Associates LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hanover, MD
National Provider Identifier
1295342772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- GILEAD ASSOCIATES LLC
- Practice address
- 7661 Arundel Mills Blvd
Hanover, MD 21076-1305 - Phone
- (672) 250-6736
- NPI assigned
- Sep 28, 2020
- 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
- Gbemisola Elizabeth Mojelope, PMHNP-BC
- Title
- Clinical Director
- Phone
- (667) 225-0673
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Nurse Practitioner | 363L00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
7661 Arundel Mills Blvd
Hanover, MD 21076-1305
Mailing address
206 Mulberry Ridge CT
Pasadena, MD 21122-7514
Phone (432) 038-0944
Other practice location 1
712 H Street NE # 2049
Washington, DC 20002-3627
Phone (667) 225-0673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W20623088 | Other | MD | MARYLAND DEPARTMENT OF TAXATION-SDAT |
Other names 1
- GILEAD Associates LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | gileadassociates.gal@gmail.com | Direct |
National Provider Directory
National Provider DirectoryLocations
712 H St NE
#2049
Washington, DC 20002
Phone (667) 225-0673
7661 Arundel Mills Blvd
Hanover, MD 21076
Phone (672) 250-6736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694131200000",
"number": "1295342772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 MULBERRY RIDGE CT",
"city": "PASADENA",
"state": "MD",
"postal_code": "211227514",
"telephone_number": "432-038-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7661 ARUNDEL MILLS BLVD",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761305",
"telephone_number": "672-250-6736"
}
],
"practiceLocations": [
{
"address_1": "712 H Street NE # 2049",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200023627",
"country_code": "US",
"telephone_number": "667-225-0673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GILEAD ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-28",
"last_updated": "2023-09-08",
"certification_date": "2023-09-07",
"status": "A",
"authorized_official_last_name": "MOJELOPE",
"authorized_official_first_name": "GBEMISOLA",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "667-225-0673",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"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": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND DEPARTMENT OF TAXATION-SDAT",
"identifier": "W20623088",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "gileadassociates.gal@gmail.com",
"affiliation": "N",
"endpointDescription": "desktop",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "206 Mulberry Ridge Ct",
"city": "Pasadena",
"state": "MD",
"country_code": "US",
"postal_code": "211227514",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "GILEAD Associates LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.