Bosede M Adeleye, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Riverdale, MD
NPI 1659629798 · NPPES record last updated Jul 18, 2022
Key facts
- NPI
- 1659629798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R161903 (MD)
- Practice address
- 6801 Kenilworth Ave Ste 300-S2
Riverdale, MD 20737-1331 - Phone
- (301) 512-9449
- Fax
- (301) 798-6260
- NPI assigned
- Aug 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Post Acute Physician Partners LLC
Amazing Healthcare Clinic Corporation
Practice addresses (Care Compare)
26757 Crooked Oak LN
Hebron, MD 21830-1232
Phone (410) 548-2343
6495 New Hampshire Ave
A203
Hyattsville, MD 20783-3245
Phone (301) 798-5583
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130318000115 | DC | Practitioner - Nurse Practitioner | 5395980502 | Reassigns benefits to 5 organizations |
| I20130806000709 | MD | Practitioner - Nurse Practitioner | 5395980502 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R161903 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Physician Partners, LLC | Current |
Accepting new patients | |
| Della Behavioral Health Services | Current |
Accepting new patients | |
| Encounter Telehealth, Inc | Psychiatric/Mental Health | Current |
Accepting new patients |
| Minuteclinic LLC | Family | Current |
Accepting new patients |
| Psychogeriatric Services LLC | Current |
Accepting new patients | |
| Adroit Healthcare Services LLC | Current | Accepting new patients | |
| Sage Hollow Health PC | Current |
Accepting new patients | |
| Amazing Healthcare Clinic Corporation | Past | Accepting new patients | |
| Amazing Healthcare Clinic Corporation | Past | Accepting new patients | |
| Amazing Healthcare Clinic Corporation | Past | Accepting new patients | |
| Amazing Healthcare Clinic Corporation | Past | Accepting new patients | |
| Amazing Healthcare Clinic Corporation | Past | Accepting new patients | |
| Amazing Healthcare Clinic | Past | Accepting new patients | |
| Ace Urgent Care and Clinic LLC | Past | Accepting new patients | |
| Amazing Healthcare Clinic Corporation | Psychiatric/Mental Health | Past | Accepting new patients |
| Amazing Healthcare Clinic Corporation | Past | Accepting new patients |
Locations
2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090
8700 Jones Mill Rd
Chevy Chase, MD 20815
Phone (301) 350-5555
7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600
9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225
10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191
4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800
1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717
7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717
3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
900 S 74th Plz
Ste 403
Omaha, NE 68114
Interoperability endpoints
- https://api.platform.athenahealth.com/4265/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R161903 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R161903 | MD | Yes |
Addresses
Primary practice location
6801 Kenilworth Ave Ste 300-S2
Riverdale, MD 20737-1331
Mailing address
10903 N Riding Rd
Upper Marlboro, MD 20772-8398
Phone (301) 512-9449
Other providers in Riverdale, MD
- Esther Abimbola Adefenwa
- Roseline Omosolape Adegoke
- Folashade Janet Adejumo
- Helen Adekusibe
- Mbuo Adel
- John Adelaja Adeleye
- Abiodun F Adesanya
- Yetunde Adesanya
- Adeola Yewande Adesemowo
- Funke Aduke Adeyefa
All providers in Riverdale, MD · Psychiatric/Mental Health Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.