NPIMap

Organization Active NPI

Maryland Health Services LLC

  • Psychiatry Physician
  • Bowie, MD
National Provider Identifier
1962100214
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MARYLAND HEALTH SERVICES LLC
Practice address
14300 Gallant Fox LN Ste 103
Bowie, MD 20715-4031
Phone
(240) 594-0350
NPI assigned
Feb 16, 2023
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Dr. Taiwo Koyejo Alade
Title
Ceo/Owner
Phone
(240) 594-0350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

14300 Gallant Fox LN Ste 103
Bowie, MD 20715-4031

Mailing address

14300 Gallant Fox LN Ste 103
Bowie, MD 20715-4031
Phone (240) 594-0350

National Provider Directory

National Provider Directory
Tax ID family
Maryland Health Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1962100214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN STE 103",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154031",
            "telephone_number": "240-594-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN STE 103",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154031",
            "telephone_number": "240-594-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "ALADE",
        "authorized_official_first_name": "TAIWO",
        "authorized_official_middle_name": "KOYEJO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "240-594-0350",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.