Bluewaves Mental Health Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BLUEWAVES MENTAL HEALTH SERVICES LLC

Practice address

9717 Traver St
Bowie, MD 20721-1867

Phone

(301) 732-9954

NPI assigned

Dec 2, 2024

Last updated

Sep 22, 2026By 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

Olufunke A CarterNPI 1669134094

Title

Pmhnp-BC

Phone

(301) 732-9954

Specialties & licenses 1

Addresses

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.

• Olufunke Abimbola Carter, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, VA
  • NPI 1669134094
  NPD Authorized official

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1770309155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9717 TRAVER ST",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211867",
            "telephone_number": "301-732-9954",
            "fax_number": "240-667-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9717 TRAVER ST",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211867",
            "telephone_number": "301-732-9954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 Howard Rd SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200204406",
            "country_code": "US",
            "telephone_number": "301-732-9954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUEWAVES MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "OLUFUNKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "301-732-9954"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Bowie, MD
• Providers in Bowie, 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 Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.