Proximity Health Care Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PROXIMITY HEALTH CARE SERVICES LLC

Practice address

8204 Red Gate CT
Bowie, MD 20715-3368

Phone

(240) 486-2949

Fax

(301) 262-7890

NPI assigned

Sep 5, 2022

Organization subpart

No

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

Authorized official

Name

Elizabeth AdeyemiNPI 1063093789

Title

Provider

Phone

(240) 486-2949

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.

• Elizabeth Adeyemi

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
  • NPI 1063093789

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1396466710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 RED GATE CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153368",
            "telephone_number": "240-486-2949",
            "fax_number": "301-262-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 RED GATE CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153368",
            "telephone_number": "240-486-2949",
            "fax_number": "301-262-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROXIMITY HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A",
        "authorized_official_last_name": "ADEYEMI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "240-486-2949"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Bowie, MD
• Providers in Bowie, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.