King of Glory Healthcare

Primary specialty

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

Legal business name

KING OF GLORY HEALTHCARE

Practice address

8861 Branch Ave
Clinton, MD 20735-2632

Phone

(240) 448-7242

Fax

(240) 448-6991

NPI assigned

Apr 30, 2025

Organization subpart

No

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

Authorized official

Name

Ifeyinwa OkaforNPI 1285236539

Title

President

Phone

(240) 448-7242

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ifeyinwa Okafor, PMHNP

  • Psychiatry Physician
  • Camp Springs, MD
  • NPI 1285236539

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1639967409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 NATALIE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724340",
            "telephone_number": "240-448-7242",
            "fax_number": "240-448-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8861 BRANCH AVE",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352632",
            "telephone_number": "240-448-7242",
            "fax_number": "240-448-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING OF GLORY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "IFEYINWA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-448-7242"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khosrow Davachi MD PC
• Khosrow Davachi MD PC
• Kashira Kidd, RA
• Malinda Renee Kidd, PSY.D.
• Da Hun Kim
• Mark Steven Klein, MD
• Shante Knight
• Olaperi Koletowo, CRNP-BC
• Divya Kommalapati, PT
• Omolara Komolafe

• Mental Health Clinic/Center (Including Community Mental Health Center) in Clinton, MD
• Providers in Clinton, 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 Apr 30, 2025; 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.