Accentor Behavioral Health Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ACCENTOR BEHAVIORAL HEALTH SERVICES LLC

Practice address

10001 Derekwood LN Ste 204
Lanham, MD 20706-4864

Phone

(240) 520-3197

NPI assigned

Apr 16, 2025

Last updated

Apr 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Obehi OmoijuanfoNPI 1164193462

Title

Ceo

Phone

(240) 520-3197

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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.

• Obehi Omoijuanfo

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
  • NPI 1164193462

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1366238495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 DEREKWOOD LN STE 204",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 DEREKWOOD LN STE 204",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064864",
            "telephone_number": "240-520-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCENTOR BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "OMOIJUANFO",
        "authorized_official_first_name": "OBEHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-520-3197",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Lanham, MD
• Providers in Lanham, 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 Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.