Organization Active NPI

Proficient Mind and Wellness Clinic LLC

  • Health Service Clinic/Center
  • Smyrna, DE
National Provider Identifier
1780447102
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PROFICIENT MIND AND WELLNESS CLINIC LLC
Practice address
665 S Carter Rd Unit 2
Smyrna, DE 19977-7728
Phone
(302) 467-2646
Fax
(302) 467-2857
NPI assigned
Jan 31, 2024
Organization subpart
Yes
Parent organization
PROFICIENT MIND AND WELLNESS CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Olatokunbo Gbadebo, FNP PMHNP-BCNPI 1942588967
Title
Owner
Phone
(302) 467-2646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

665 S Carter Rd Unit 2
Smyrna, DE 19977-7728

Mailing address

665 S Carter Rd Unit 2
Smyrna, DE 19977-7728
Phone (302) 674-2646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240822002283 DE Part B Supplier - Clinic/Group Practice 5193264158 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Newark, DE; Smyrna, DE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Proficient Mind and Wellness Clinic LLC

Locations

523 Capitol Trl
Ste C
Newark, DE 19711
Phone (469) 947-6679

665 S Carter Rd
Unit 2
Smyrna, DE 19977
Phone (302) 467-2646

665 S Carter Rd
Smyrna, DE 19977

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1780447102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 S CARTER RD UNIT 2",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199777728",
            "telephone_number": "302-674-2646",
            "fax_number": "302-467-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 S CARTER RD UNIT 2",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199777728",
            "telephone_number": "302-467-2646",
            "fax_number": "302-467-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFICIENT MIND AND WELLNESS CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFICIENT MIND AND WELLNESS CLINIC",
        "enumeration_date": "2024-01-31",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "GBADEBO",
        "authorized_official_first_name": "OLATOKUNBO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-467-2646",
        "authorized_official_credential": "FNP PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.