Active NPI
Proficient Mind and Wellness Clinic LLC
- Health Service Clinic/Center
- Smyrna, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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 CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olatokunbo Gbadebo, FNP PMHNP-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Family Medicine Physician
- Newark, DE
- NPI 1811849581
O20240822002283
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.
-
- Family Nurse Practitioner
- Smyrna, DE
- NPI 1942588967
-
- Podiatrist
- Smyrna, DE
- NPI 1063479400
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.