Individual provider Active NPI

Doris Ogunmakinwa, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1891559746
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R160384 Issued in MD
Practice address
2255 Crain Hwy Ste 205
Waldorf, MD 20601-3190
Phone
(667) 382-8624
Fax
(667) 218-3708
NPI assigned
Feb 12, 2024
Last updated
May 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R160384 MD Primary

Addresses

Primary practice location

2255 Crain Hwy Ste 205
Waldorf, MD 20601-3190

Mailing address

2925 Winterbourne Dr
Upper Marlboro, MD 20774-9103
Phone (202) 744-2347

Other practice location 1

2 Industrial Park Dr Ste D
Waldorf, MD 20602-2729
Phone (667) 382-8624

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503000155 MD Practitioner - Nurse Practitioner 1254771512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 Industrial Park Dr
Suite D
Waldorf, MD 20602-2729
Phone (667) 382-8624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synchrony Behavioral Health Services LLC Psychiatric/Mental Health CurrentSince Apr 1, 2024 Accepting new patients
Psychogeriatric Services LLC CurrentSince Jun 17, 2024 Accepting new patients

Locations

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

2 Industrial Park Dr
Ste D
Waldorf, MD 20602
Phone (667) 382-8624

2255 Crain Hwy
Ste 205
Waldorf, MD 20601
Phone (301) 806-4641

Organizations & group practices 2

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": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1891559746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 WINTERBOURNE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749103",
            "telephone_number": "202-744-2347",
            "fax_number": "667-218-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 CRAIN HWY STE 205",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013190",
            "telephone_number": "667-382-8624",
            "fax_number": "667-218-3708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Industrial Park Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206022729",
            "country_code": "US",
            "telephone_number": "667-382-8624",
            "fax_number": "667-218-3708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNMAKINWA",
        "first_name": "DORIS",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R160384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.