Organization Active NPI

Gilead Associates LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hanover, MD
National Provider Identifier
1295342772
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Sep 8, 2023

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
W20623088OtherMDMARYLAND DEPARTMENT OF TAXATION-SDAT

Other names 1

  • GILEAD Associates LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL gileadassociates.gal@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.