Individual provider Active NPI

Chinyere Ogechi Adibe, PSYCH NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyattsville, MD
National Provider Identifier
1770840480
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP1045339 Issued in DC
Practice address
516 Hill Rd
Hyattsville, MD 20785-4617
Phone
(202) 390-4129
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024183447 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R227661 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1045339 DC Primary

Addresses

Primary practice location

516 Hill Rd
Hyattsville, MD 20785-4617

Mailing address

516 Hill Rd
Hyattsville, MD 20785-4617
Phone (202) 390-4129

Other practice location 1

765 Kenilworth Ter NE
Washington, DC 20019-1898
Phone (202) 469-4699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220708000045 MD Practitioner - Nurse Practitioner 0547640526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP1045339DCMDPsychiatric/Mental Health Nurse Practitioner
0024183447VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Behavioral Services LLC CurrentSince Mar 5, 2022 Accepting new patients
Diamond Healthcare Services LLC Past Accepting new patients
Diamond Healthcare Services LLC Past Accepting new patients
Diamond Healthcare Services LLC Past Accepting new patients
Diamond Healthcare Services LLC Past Accepting new patients

Locations

10451 Mill Run Cir
Ste 415
Owings Mills, MD 21117
Phone (301) 892-6721

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1770840480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 HILL RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854617",
            "telephone_number": "202-390-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 HILL RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854617",
            "telephone_number": "202-390-4129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 Kenilworth Ter NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200191898",
            "country_code": "US",
            "telephone_number": "202-469-4699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADIBE",
        "first_name": "CHINYERE",
        "middle_name": "OGECHI",
        "name_prefix": "Mrs.",
        "credential": "PSYCH NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024183447",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R227661",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1045339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.