Active NPI
Adekomi Psychiatric Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Owings Mills, MD
National Provider Identifier
1447716170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ADEKOMI PSYCHIATRIC SERVICES LLC
- Practice address
- 4515 Hidden Stream CT
Owings Mills, MD 21117-4837 - Phone
- (410) 300-6461
- Fax
- (410) 744-8945
- NPI assigned
- Feb 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Yekeen Kolajo Odewale, PMHNP-BC
- Title
- Ceo
- Phone
- (410) 300-6461
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4515 Hidden Stream CT
Owings Mills, MD 21117-4837
Mailing address
4815 Coyle Rd Apt 204
Owings Mills, MD 21117-5080
Phone (410) 762-8945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117396100 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Adekomi Psychiatric Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Owings Mills, MD
- NPI 1255949871
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Owings Mills, MD
- NPI 1184175697
Psychiatric/Mental Health, Adult
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736985600000",
"number": "1447716170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 COYLE RD APT 204",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175080",
"telephone_number": "410-762-8945",
"fax_number": "410-744-4579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 HIDDEN STREAM CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174837",
"telephone_number": "410-300-6461",
"fax_number": "410-744-8945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADEKOMI PSYCHIATRIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-19",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A",
"authorized_official_last_name": "ODEWALE",
"authorized_official_first_name": "YEKEEN",
"authorized_official_middle_name": "KOLAJO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-300-6461",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117396100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.