NPIMap

Organization Active NPI

Amazing Healthcare Clinic

  • Adolescent and Children Mental Health Clinic/Center
  • Hyattsville, MD
National Provider Identifier
1568280493
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
AMAZING HEALTHCARE CLINIC
Practice address
6495 New Hampshire Ave Ste 203
Hyattsville, MD 20783-3286
Phone
(301) 798-5583
Fax
(301) 798-6260
NPI assigned
Sep 30, 2024
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Bosede M Adeleye, PMHNP-BCNPI 1659629798
Title
Provider
Phone
(301) 798-5583

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)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

6495 New Hampshire Ave Ste 203
Hyattsville, MD 20783-3286

Mailing address

10903 N Riding Rd
Upper Marlboro, MD 20772-8398
Phone (301) 798-5583

National Provider Directory

National Provider Directory
Tax ID family
Amazing Healthcare Clinic Corporation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

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": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1568280493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 N RIDING RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728398",
            "telephone_number": "301-798-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 NEW HAMPSHIRE AVE STE 203",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833286",
            "telephone_number": "301-798-5583",
            "fax_number": "301-798-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING HEALTHCARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "ADELEYE",
        "authorized_official_first_name": "BOSEDE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "301-798-5583",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.