Primal Mental Health Care LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PRIMAL MENTAL HEALTH CARE LLC

Practice address

14300 Gallant Fox LN
Bowie, MD 20715-4003

Phone

(240) 423-5690

Fax

(240) 558-6915

NPI assigned

Feb 18, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Ivonne NwadikeNPI 1750882841

Title

Owner

Phone

(240) 423-5690

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• Ivonne Mbone Sona Nwadike, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
  • NPI 1750882841

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1861297202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154003",
            "telephone_number": "240-423-5690",
            "fax_number": "240-558-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154003",
            "telephone_number": "240-423-5690",
            "fax_number": "240-558-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAL MENTAL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "NWADIKE",
        "authorized_official_first_name": "IVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-423-5690",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Eye Care Center LLC
• Premier OBGYN
• Premium Healthcare Services LLC
• Prestige Periodontics Bowie LLC
• Brian Prettyman, PT, DPT
• Primary Care Physicians LLC
• Primary Pediatrics
• Prime Healthcare Services LLC
• Prime Healthcare,LLC
• Natasha E Prince

• Community/Behavioral Health Agency in Bowie, MD
• Providers in Bowie, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.