NPIMap

Organization Active NPI

Divine Wellness and Psychiatric Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gwynn Oak, MD
National Provider Identifier
1336945443
Registry record updated Feb 20, 2025
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
DIVINE WELLNESS AND PSYCHIATRIC SERVICES
Practice address
6340 Security Blvd Ste 100
Gwynn Oak, MD 21207-5284
Phone
(301) 665-0074
Fax
(301) 637-1706
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Oladoyin Oladayo AdekolaNPI 1205547262
Title
President
Phone
(301) 665-0662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

6340 Security Blvd Ste 100
Gwynn Oak, MD 21207-5284

Mailing address

9220 Sewall Ave
Laurel, MD 20723-1889
Phone (301) 665-0074

National Provider Directory

National Provider Directory
Tax ID family
Divine Wellness and Psychiatric Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1336945443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 SEWALL AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231889",
            "telephone_number": "301-665-0074",
            "fax_number": "301-637-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 100",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212075284",
            "telephone_number": "301-665-0074",
            "fax_number": "301-637-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE WELLNESS AND PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "ADEKOLA",
        "authorized_official_first_name": "OLADOYIN",
        "authorized_official_middle_name": "OLADAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-665-0662"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gwynn Oak, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.