Organization Active NPI

Citadel Behavioral Healthcare Consulting LLC

  • Nurse Practitioner
  • Cheverly, MD
National Provider Identifier
1902660640
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CITADEL BEHAVIORAL HEALTHCARE CONSULTING LLC
Practice address
6492 Landover Rd Ste B3
Cheverly, MD 20785-1400
Phone
(240) 988-3779
NPI assigned
Feb 13, 2024
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Mutiat Popoola, DNPNPI 1477169936
Title
Authorized Official/Owner
Phone
(240) 988-3779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

6492 Landover Rd Ste B3
Cheverly, MD 20785-1400

Mailing address

9814 Passage Dr
Upper Marlboro, MD 20772-4544
Phone (240) 988-3779

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1902660640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9814 PASSAGE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724544",
            "telephone_number": "240-988-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6492 LANDOVER RD STE B3",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851400",
            "telephone_number": "240-988-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL BEHAVIORAL HEALTHCARE CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "POPOOLA",
        "authorized_official_first_name": "MUTIAT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "240-988-3779",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheverly, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.