Active NPI
Proficient Mind and Wellness Clinic LLC
- Family Medicine Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PROFICIENT MIND AND WELLNESS CLINIC LLC
- Practice address
- 523 Capitol TRL Ste B
Newark, DE 19711-3859 - Phone
- (302) 467-2646
- Fax
- (302) 467-2857
- NPI assigned
- Feb 13, 2026
- Last updated
- Feb 13, 2026
- Organization subpart
- Yes
- Parent organization
- PROFICIENT MIND AND WELLNESS CLINIC LLC
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
523 Capitol TRL Ste B
Newark, DE 19711-3859
Mailing address
523 Capitol TRL Ste B
Newark, DE 19711-3859
Phone (302) 467-2646
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.
-
- Health Service Clinic/Center
- Smyrna, DE
- NPI 1780447102
O20240822002283
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 08D2324949 | Proficient Mind and Wellness | Certificate of waiver | Jun 3, 2027 |
National Provider Directory
National Provider Directory- Part of
- Proficient Mind and Wellness Clinic LLC
Locations
523 Capitol Trl
Ste B
Newark, DE 19711
Phone (302) 467-2646
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770940800000",
"number": "1811849581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 CAPITOL TRL STE B",
"city": "NEWARK",
"state": "DE",
"postal_code": "197113859",
"telephone_number": "302-467-2646",
"fax_number": "302-467-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 CAPITOL TRL STE B",
"city": "NEWARK",
"state": "DE",
"postal_code": "197113859",
"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 LLC",
"enumeration_date": "2026-02-13",
"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": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Dawn Michelle Pritchard, CNM
- Professional Technicians Incorporated
- Progressive Dental Arts
- Kathryn Provonche, PA
- Amanda Victoria Prowitz, NCC
- John Anthony Przybylski Jr., MHS, PA-C
- Gina Mirarchi Psenicska, LCSW C
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.