Organization Active NPI

Abundant Healthcare Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenbelt, MD
National Provider Identifier
1831759984
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 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
Last updated
Dec 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Oyesola Omowunmi Akintan-Adaji, DNP, PMHNP-BC, FNP-BNPI 1760712913
Title
Ceo
Phone
(301) 792-0855

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

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 1

  • ABUNDANT HEALTHCARE SERVICES INC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address INFO@ABUNDANTHEALTHCAREMD.COM Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191014002794 DC Part B Supplier - Clinic/Group Practice 2466783907 Receives reassigned benefits from 1 practitioner
Practice locations: Greenbelt, MD

National Provider Directory

National Provider Directory

Locations

8955 Edmonston Rd
Ste F
Greenbelt, MD 20770
Phone (301) 345-2700

8955 Edmonston Rd
Unit Fh
Greenbelt, MD 20770
Phone (301) 552-9385

Interoperability endpoints

  • Direct secure messaging: info@abundanthealthcaremd.com

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": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1831759984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17307 RUSSET DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163604",
            "telephone_number": "301-792-0855",
            "fax_number": "301-552-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 EDMONSTON RD UNIT F&H",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701006",
            "telephone_number": "301-792-0855",
            "fax_number": "301-552-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "AKINTAN-ADAJI",
        "authorized_official_first_name": "OYESOLA",
        "authorized_official_middle_name": "OMOWUNMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-792-0855",
        "authorized_official_credential": "DNP, PMHNP-BC, FNP-B"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INFO@ABUNDANTHEALTHCAREMD.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17307 Russet Dr",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207163604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ABUNDANT HEALTHCARE SERVICES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.