D-Laite Group LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

D-LAITE GROUP LLC

Practice address

2901 Druid Park Dr Ste A202
Baltimore, MD 21215-8131

Phone

(443) 449-1908

NPI assigned

Nov 15, 2023

Organization subpart

No

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

Authorized official

Name

Kehinde Joseph, NPNPI 1518657527

Title

Ceo

Phone

(443) 449-1908

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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

• Kehinde Deborah Joseph, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Abingdon, MD
  • NPI 1518657527
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1871368381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 WOLF TRAIL DR",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210094306",
            "telephone_number": "443-449-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 DRUID PARK DR STE A202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158131",
            "telephone_number": "443-449-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D-LAITE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "KEHINDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-449-1908",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Czinn, MD
• Julianna Monica Czum, M.D.
• D & D Pharmacy Inc Ta Purdum Pharmacy
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• D & J Sales Company, LLC
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• Lisa Caroline D'Affronte, D.D.S.
• Donald C D'Agati, M.D.
• Nicole D'Agostino
• Abby Keen D'Albora, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.