Yadale Fassil

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R236610 Issued in MD

Practice address

10301 Georgia Ave Ste 203W
Silver Spring, MD 20902-5020

Phone

(240) 865-3135

NPI assigned

Oct 24, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blue Sky Mental Health Clinic LLC

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
  • NPI 1184204745

  Psychiatric/Mental Health

  NPD
• Blue Sky Mental Health Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel, MD
  • NPI 1467372623
  NPD (past)

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1710855440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 HARMON RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 GEORGIA AVE STE 203W",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025020",
            "telephone_number": "240-865-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASSIL",
        "first_name": "YADALE",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R236610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Farrell, PH.D.
• Carol Elizabeth Farthing, PH.D.
• Christina Olajumoke Fasanmi, CRNP
• Oyinlola Ope Bola Fashina, PHARM.D.
• Ezdean Fassassi
• Aline Fassinou Zankran
• Oluseyi Fatanmi
• John P Fath, LCPC
• Lubna Layth Fatheel, MD
• Ariana Faustini, M.S., CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, 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 Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.