Shepherds Path Mental Wellness

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SHEPHERDS PATH MENTAL WELLNESS

Doing business as

Shepherds Path Mental Wellness

Practice address

702 Turkana Cir
Aberdeen, MD 21001-1266

Phone

(667) 567-0110

Fax

(667) 280-4044

NPI assigned

Aug 14, 2025

Organization subpart

No

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

Authorized official

Name

Bolanle C ThaniNPI 1912696279

Title

Ceo

Phone

(443) 449-9019

Specialties & licenses 2

Addresses

Other names 1

• Shepherds Path Mental Wellness Doing business as

Practitioners 1

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

• Bolanle Christianah Thani, BSN, RN

  • Home Health Registered Nurse
  • Aberdeen, MD
  • NPI 1912696279
  NPD Authorized official

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1346126216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 TURKANA CIR",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011266",
            "telephone_number": "443-449-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 TURKANA CIR",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011266",
            "telephone_number": "667-567-0110",
            "fax_number": "667-280-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERDS PATH MENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "THANI",
        "authorized_official_first_name": "BOLANLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-449-9019"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepherds Path Mental Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tyrone Sherrod
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• Kara Hope Smith, LCSW-C
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• Psychiatric/Mental Health Nurse Practitioner in Aberdeen, MD
• Providers in Aberdeen, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.