NPIMap

Organization Active NPI

Exousia Behavioral Health, LLC

  • Psychiatry Physician
  • Suitland, MD
National Provider Identifier
1497451553
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
EXOUSIA BEHAVIORAL HEALTH, LLC
Practice address
5625 Allentown Rd
Suitland, MD 20746-4521
Phone
(571) 409-1517
NPI assigned
Jan 31, 2023
Last updated
Sep 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Dr. Oluwakemi Aje, MDNPI 1720418627
Title
Clinical Director
Phone
(571) 409-1517

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

5625 Allentown Rd
Suitland, MD 20746-4521

Mailing address

5625 Allentown Rd Suite 106
Suitland, MD 20746-4521
Phone (571) 409-1517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230504000779 DC Part B Supplier - Clinic/Group Practice 3476918061 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA; Suitland, MD

National Provider Directory

National Provider Directory
Tax ID family
Exousia Behavioral Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5625 Allentown Rd
Suitland, MD 20746
Phone (301) 996-9666

5625 Allentown Rd
Ste 106
Suitland, MD 20746
Phone (571) 409-1517

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1497451553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 ALLENTOWN RD SUITE 106",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464521",
            "telephone_number": "571-409-1517",
            "fax_number": "240-301-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 ALLENTOWN RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464521",
            "telephone_number": "571-409-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXOUSIA BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-09-01",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "AJE",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "571-409-1517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suitland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.