Individual provider Active NPI

Yetunde Adeyeri

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1477329217
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R195848 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(410) 328-5386
NPI assigned
Dec 4, 2023
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R195848 MD Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X R195848 MD

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

209 Kirbys Landing CT
Odenton, MD 21113-2625
Phone (773) 837-0013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20241218003134 MD Practitioner - Nurse Practitioner 8325575194 Reassigns benefits to 5 organizations
I20241218003791 DC Practitioner - Nurse Practitioner 8325575194 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrahealth LLCGroup PAC ID 3678911625, 47 clinicians
Supportive Care of Maryland LLCGroup PAC ID 9234460999, 38 clinicians
Spiritual HealingGroup PAC ID 7113388802, 22 clinicians
Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

10 N Rock Glen Rd
Baltimore, MD 21229-3250
Phone (410) 646-2100

1010 E 33Rd St
Baltimore, MD 21218-3780
Phone 71829843753780

2232 E Monument St
Baltimore, MD 21205-2431
Phone (667) 207-3552

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (443) 452-9612

4409 E W Hwy
Riverdale, MD 20737-1058
Phone (718) 298-4375

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Oct 12, 2024 Accepting new patients
Araya Wellness LLC Psychiatric/Mental Health CurrentSince Nov 20, 2025 Accepting new patients
Supportive Care of Maryland LLC CurrentSince Nov 1, 2025 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Nov 26, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health Current Accepting new patients
Toller Enterprises LLC CurrentSince Oct 12, 2024 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Oct 12, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Nov 26, 2024 Accepting new patients
Spiritual Healing CurrentSince Oct 12, 2024 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

821 N Charles St
Baltimore, MD 21201
Phone (443) 452-9612

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1477329217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 KIRBYS LANDING CT",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132625",
            "telephone_number": "773-837-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYERI",
        "first_name": "YETUNDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R195848",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R195848",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.