Addis Health Services LLC

Primary specialty

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

Legal business name

ADDIS HEALTH SERVICES LLC

Practice address

7835 Belle Point Dr
Greenbelt, MD 20770-3338

Phone

(301) 477-4916

NPI assigned

Nov 29, 2021

Last updated

Jan 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Medhin Gebreamlak, PMHNPNPI 1245756907

Title

President

Phone

(703) 732-7126

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Addis Health Services LLC

  • Primary Care Clinic/Center
  • Greenbelt, MD
  • NPI 1649041211

  O20211214000094

  Same enrollment

Tax ID family

Addis Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Addis Health Services LLC

  • Primary Care Clinic/Center
  • Greenbelt, MD
  • NPI 1649041211
  NPD tax ID

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.

• Medhin G Gebreamlak, NP

  • Family Nurse Practitioner
  • Washington, DC
  • NPI 1245756907

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1558028324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8072 HORSESHOE COTTAGE CIR",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792327",
            "telephone_number": "301-477-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7835 BELLE POINT DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703338",
            "telephone_number": "301-477-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDIS HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "GEBREAMLAK",
        "authorized_official_first_name": "MEDHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-732-7126",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carophine Aweih Acho Epse Asaah
• Derick Abong Achombom
• Ndubuisi C Achufusi, M.D.
• Joyce Y Adams, CNS, LDN
• Musa Yumouh Adamu
• Addis Health Services LLC
• Temitope Adedapo, PMHNP
• Oladipo Sofolu Adedeji, MS, LCPC, NCC
• Adedoyin Olufunke Adekoya
• Jonathan Mark Adelson, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Greenbelt, MD
• Providers in Greenbelt, 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 Jan 12, 2024; 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.