Individual provider Active NPI

Adeniyi O. Adelakun, M.D., M.P.H

  • Psychiatry Physician
  • Rockville, MD
National Provider Identifier
1881984730
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0082496 Issued in MD
Practice address
200 Wood Hill Rd
Rockville, MD 20850-8724
Phone
(301) 838-4200
Fax
(301) 468-1862
NPI assigned
Apr 12, 2011
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PA
Psychiatry Physician 2084P0800X D0082496 MD Primary

Addresses

Primary practice location

200 Wood Hill Rd
Rockville, MD 20850-8724

Mailing address

833 Chestnut St Ste 210
Philadelphia, PA 19107-4405
Phone (215) 955-9823

Other practice location 1

833 Chestnut St Ste 210
Philadelphia, PA 19107-4405
Phone (215) 955-8420

Other practice location 2

3025 Hamaker Ct Ste 450
Fairfax, VA 22031-2237
Phone (703) 204-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DC2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150102000210 NJ Practitioner - Psychiatry 7719200526 Reassigns benefits to 1 organization
I20191213000483 DC Practitioner - Psychiatry 7719200526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0082496MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Social Service Agency CurrentSince Nov 18, 2019 Accepting new patients
Jewish Social Service Agency Psychiatry CurrentSince Nov 18, 2019 Accepting new patients
It Takes a Family Psychiatry CurrentSince Sep 24, 2014 Accepting new patients
Gennext Group LLC Psychiatry Current Accepting new patients
Jewish Social Service Agency Psychiatry Current Accepting new patients

Locations

200 Wood Hill Rd
Rockville, MD 20850
Phone (240) 800-5772

6123 Montrose Rd
Rockville, MD 20852
Phone (301) 838-4200

1104 Route 130 N
Ste K
Cinnaminson, NJ 08077
Phone (609) 933-7044

1200 Laurel Oak Rd
Ste 102
Voorhees, NJ 08043
Phone (856) 454-5100

3025 Hamaker Ct
Ste 450
Fairfax, VA 22031
Phone (240) 800-5772

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1881984730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 210",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074405",
            "telephone_number": "215-955-9823",
            "fax_number": "215-503-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WOOD HILL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508724",
            "telephone_number": "301-838-4200",
            "fax_number": "301-468-1862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Chestnut St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074405",
            "country_code": "US",
            "telephone_number": "215-955-8420",
            "fax_number": "215-503-2856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3025 Hamaker Ct Ste 450",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220312237",
            "country_code": "US",
            "telephone_number": "703-204-9100",
            "fax_number": "301-468-1862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADELAKUN",
        "first_name": "ADENIYI",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0082496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.