Abundant Healthcare Services Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Greenbelt, MD
NPI 1831759984 · NPPES record last updated Dec 7, 2021
Key facts
- NPI
- 1831759984
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- ABUNDANT HEALTHCARE SERVICES INC
- Practice address
- 8955 Edmonston Rd Unit F&H
Greenbelt, MD 20770-1006 - Phone
- (301) 792-0855
- Fax
- (301) 552-9381
- NPI assigned
- Jun 19, 2019
- Organization subpart
- No
Authorized official
- Name
- Oyesola Omowunmi Akintan-Adaji, DNP, PMHNP-BC, FNP-B
- Title
- Ceo
- Phone
- (301) 792-0855
Practitioners 1
-
Oyesola Omowunmi Akintan-Adaji, FNP-BC; PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191014002794 | DC | Part B Supplier - Clinic/Group Practice | 2466783907 |
Receives reassigned benefits from 1 practitioner Practice locations: Greenbelt, MD |
National Provider Directory
Locations
8955 Edmonston Rd
Unit Fh
Greenbelt, MD 20770
Phone (301) 552-9385
Interoperability endpoints
- info@abundanthealthcaremd.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
8955 Edmonston Rd Unit F&H
Greenbelt, MD 20770-1006
Mailing address
17307 Russet Dr
Bowie, MD 20716-3604
Phone (301) 792-0855
Other names
- ABUNDANT HEALTHCARE SERVICES INC
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | INFO@ABUNDANTHEALTHCAREMD.COM | Direct |
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All providers in Greenbelt, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.