Individual provider Active NPI

Modupe A Adebayo-Dada

  • Psychiatry Physician
  • Laurel, MD
National Provider Identifier
1821902339
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R159659 Issued in MD
Practice address
9811 Mallard Dr Ste 210
Laurel, MD 20708-3199
Phone
(301) 237-2563
Fax
(443) 378-8715
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R159659 MD Primary

Addresses

Primary practice location

9811 Mallard Dr Ste 210
Laurel, MD 20708-3199

Mailing address

9811 Mallard Dr Ste 210
Laurel, MD 20708-3199
Phone (301) 237-2563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1821902339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR STE 210",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083199",
            "telephone_number": "301-237-2563",
            "fax_number": "443-378-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DR STE 210",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083199",
            "telephone_number": "301-237-2563",
            "fax_number": "443-378-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBAYO-DADA",
        "first_name": "MODUPE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "R159659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.