Dynamic Health Care LLC

Primary specialty

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

Legal business name

DYNAMIC HEALTH CARE LLC

Practice address

516 S Conkling St
Baltimore, MD 21224-4201

Phone

(410) 864-8874

Fax

(410) 864-8874

NPI assigned

Jul 1, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Olukayode Michael Akinnuoye

Title

Coo

Phone

(410) 864-8874

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Dynamic Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dynamic Health Care LLC

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1891020442
  NPD tax ID

Locations

Practitioners 4

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

• Abiola Mumuni-Abass, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
  • NPI 1366081903
  Medicare reassignment NPD
• Shanzet A Jones, LGPC

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1679397897

  Single Specialty

  NPD
• Destiny Umoja, LMSW

  • Social Worker
  • Baltimore, MD
  • NPI 1285433896
  NPD
• Iyabo Alimot Akinnuoye

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1255515110
  NPD (past)

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1730706276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 S CONKLING ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244201",
            "telephone_number": "410-864-8874",
            "fax_number": "410-864-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S CONKLING ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244201",
            "telephone_number": "410-864-8874",
            "fax_number": "410-864-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "AKINNUOYE",
        "authorized_official_first_name": "OLUKAYODE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "410-864-8874",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ann Dyer, OTR/L
• Arbor Grace Dykema
• Jessica R Dykstra, CCC-SLP
• Ross Dymond, DDS
• Dynamic Change
• Dynamic Health Care LLC
• Dynamic Health Management Inc
• Dynamic Health System
• Dynamic Health System
• Dynamic Health System Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baltimore, MD
• Providers in Baltimore, 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 Jul 1, 2020; 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.