Active NPI
Susanah Oluwatoyin Kolapo
- Psychiatric/Mental Health Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 237585
- Practice address
- 1200 Pecan St SE
Washington, DC 20032-2652 - Phone
- (202) 741-3000
- NPI assigned
- Aug 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 237585 | MD | Primary |
Addresses
Primary practice location
1200 Pecan St SE
Washington, DC 20032-2652
Mailing address
14003 Lake Meadows Dr
Bowie, MD 20720-3816
Phone (301) 536-3713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Pecan St SE
Washington, DC 20032-2652
Phone (771) 444-6200
413 Eastern Blvd
Essex, MD 21221-6715
Phone (410) 689-5057
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237585 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Takes a Village for Change LLC | Current | Accepting new patients | |
| Medical Faculty Associates, Inc | Current | Accepting new patients |
Locations
1200 Pecan St SE
Washington, DC 20032
Phone (610) 382-4422
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
413 Eastern Blvd
Essex, MD 21221
Phone (410) 391-8114
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Essex, MD
- NPI 1497532220
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cedar Hill Regional Medical Center
- General Acute Care Hospital
- Washington, DC
- NPI 1285492892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1467134270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14003 LAKE MEADOWS DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203816",
"telephone_number": "301-536-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 PECAN ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200322652",
"telephone_number": "202-741-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLAPO",
"first_name": "SUSANAH",
"middle_name": "OLUWATOYIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-01",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "237585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.