Individual provider Active NPI

John Dahunsi, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Olney, MD
National Provider Identifier
1386378735
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R201599 Issued in MD
Practice address
17709 Queen Elizabeth Dr
Olney, MD 20832-2137
Phone
(301) 305-9738
NPI assigned
Jul 12, 2022
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R201599 MD Primary

Addresses

Primary practice location

17709 Queen Elizabeth Dr
Olney, MD 20832-2137

Mailing address

17709 Queen Elizabeth Dr
Olney, MD 20832-2137
Phone (301) 305-9738

Other practice location 1

7474 Greenway Center Dr Ste 202
Greenbelt, MD 20770-3504
Phone (240) 304-6071

Other practice location 2

1003 W 7th St Ste 200
Frederick, MD 21701-4106
Phone (301) 245-6300

Other practice location 3

3460 Olney Laytonsville Rd Ste 212
Olney, MD 20832-3701
Phone (301) 982-3437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221119000503 MD Practitioner - Nurse Practitioner 3779951900 Reassigns benefits to 2 organizations
I20221205000632 DC Practitioner - Nurse Practitioner 3779951900 Reassigns benefits to 3 organizations
I20230328000913 NV Practitioner - Nurse Practitioner 3779951900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Behavioral Health Nevada PCGroup PAC ID 0749611275, 4 clinicians

Practice addresses (Care Compare)

1003 W 7TH St
Suite 200
Frederick, MD 21701-4106
Phone (301) 245-6300

2401 W Horizon Ridge Pkwy
Suite 110
Henderson, NV 89052-2707
Phone (725) 500-5785

3460 Olney Laytonsville Rd
Suite 212
Olney, MD 20832-3701
Phone (301) 982-3437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Behavioral Health Nevada PC CurrentSince Jul 9, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 16, 2024 Accepting new patients
Arman C. Moshyedi, MD, LLC CurrentSince Mar 1, 2025 Accepting new patients
Arman C. Moshyedi, MD, LLC CurrentSince Mar 1, 2025 Accepting new patients
Lifespan Behavioral Health Services PC CurrentSince Sep 14, 2022 Accepting new patients
Kannan and Associates PC PastSince Jun 14, 2024 Accepting new patients
Arman C. Moshyedi, MD, LLC PastSince Jan 21, 2024 Accepting new patients
Blue Sky Mental Health Clinic LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

900 Bestgate Rd
Ste 102
Annapolis, MD 21401
Phone (443) 354-1200

1003 W 7th St
Frederick, MD 21701
Phone (301) 328-4929

1003 W 7th St
Ste 200
Frederick, MD 21701
Phone (240) 651-6824

1003 W 7th St
Ste 201
Frederick, MD 21701

1600 Crain Hwy S
Ste 608
Glen Burnie, MD 21061
Phone (443) 354-1200

7474 Greenway Center Dr
Ste 700A
Greenbelt, MD 20770
Phone (301) 982-3437

10400 Connecticut Ave
Ste 407
Kensington, MD 20895

3460 Olney Laytonsville Rd
Ste 212
Olney, MD 20832
Phone (301) 982-3437

1829 Reisterstown Rd
Ste 460
Pikesville, MD 21208
Phone (443) 354-1200

101 E Chesapeake Ave
Ste 401
Towson, MD 21286
Phone (301) 982-3437

2401 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 221-7001

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1386378735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17709 QUEEN ELIZABETH DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322137",
            "telephone_number": "301-305-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17709 QUEEN ELIZABETH DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322137",
            "telephone_number": "301-305-9738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7474 Greenway Center Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703504",
            "country_code": "US",
            "telephone_number": "240-304-6071",
            "fax_number": "845-231-6078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 W 7th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014106",
            "country_code": "US",
            "telephone_number": "301-245-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3460 Olney Laytonsville Rd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208323701",
            "country_code": "US",
            "telephone_number": "301-982-3437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHUNSI",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R201599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.