TDK Integrated Health, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TDK INTEGRATED HEALTH, INC

Practice address

7102 Glen Pine St
Glenn Dale, MD 20769-9463

Phone

(301) 615-3639

Fax

(945) 200-5716

NPI assigned

May 11, 2020

Organization subpart

No

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

Authorized official

Name

Funmilayo Olugbemi, PMHNP-BCNPI 1780151647

Title

Ceo

Phone

(301) 615-3639

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Funmilayo Olugbemi, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Glenn Dale, MD
  • NPI 1780151647

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1841812005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7102 GLEN PINE ST",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699463",
            "telephone_number": "301-615-3639",
            "fax_number": "945-200-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7102 GLEN PINE ST",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699463",
            "telephone_number": "301-615-3639",
            "fax_number": "945-200-5716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3261 Old Washington Rd Ste 2031",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206023313",
            "country_code": "US",
            "telephone_number": "301-615-3639",
            "fax_number": "945-200-5716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TDK INTEGRATED HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "OLUGBEMI",
        "authorized_official_first_name": "FUNMILAYO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-615-3639",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louriter Tanji
• Mafon Lioni-Kerry Tantoh
• Omar Tapia, RDH
• Veronica Tarmoh
• Charlie Laure Tcheutchoua Fopa
• Nelson Tebo
• Eric Tegwi Tegwi
• Joann Teh
• Joan Teke
• Paul Temban Temban

• Clinic/Center in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.