Active NPI
Chinyere Ogechi Adibe, PSYCH NP
- Psychiatric/Mental Health Nurse Practitioner
- Hyattsville, MD
National Provider Identifier
1770840480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP1045339
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| NP1045339 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024183447 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diamond Behavioral Services LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hyattsville, MD
- NPI 1104563824
MD
-
- Home Health Agency
- Hyattsville, MD
- NPI 1356813794
-
- Home Health Agency
- Owings Mills, MD
- NPI 1093601437
-
- Durable Medical Equipment & Medical Supplies
- Owings Mills, MD
- NPI 1124914577
-
- Home Health Agency
- Hyattsville, MD
- NPI 1437045861
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.