Alpha Recovery Healthcare Services Inc.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ALPHA RECOVERY HEALTHCARE SERVICES INC.

Practice address

9701 Apollo Dr Ste 293
Upper Marlboro, MD 20774-4789

Phone

(240) 821-2195

Fax

(301) 390-0463

NPI assigned

Sep 20, 2019

Last updated

Nov 9, 2022By 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

Dr. Ayoola Juliana OyenugaNPI 1982172664

Title

Mental Health Nurse Practitioner

Phone

(240) 821-2195

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Locations

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.

• Ayoola Juliana Oyenuga, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
  • NPI 1982172664

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1700437829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 WHISTLING DUCK DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207747139",
            "telephone_number": "240-821-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 293",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744789",
            "telephone_number": "240-821-2195",
            "fax_number": "301-390-0463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2014 Whistling Duck Dr",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207747139",
            "country_code": "US",
            "telephone_number": "240-821-2195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3635 Old Court Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212083908",
            "country_code": "US",
            "telephone_number": "240-821-2195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALPHA RECOVERY HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "OYENUGA",
        "authorized_official_first_name": "AYOOLA",
        "authorized_official_middle_name": "JULIANA",
        "authorized_official_title_or_position": "MENTAL HEALTH NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-821-2195",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.