IMMACULATE BEHAVIORAL HEALTHCARE SERVICES LLC
NPI 1174319495
Nurse Practitioner - Psychiatric/Mental Health in Waldorf, MD

Q: What is Immaculate Behavioral Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since April 15, 2025

2255 CRAIN HWY STE 205, WALDORF, MD 20601(301) 377-4325 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Immaculate Behavioral Healthcare Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMMACULATE BEHAVIORAL HEALTHCARE SERVICES LLC (NPI 1174319495) is a healthcare organization registered as a psychiatric/mental health in Waldorf, Maryland and active in the NPI registry since April 2025. The organization lists Oluwatoyin R Adelakun, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1174319495

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameIMMACULATE BEHAVIORAL HEALTHCARE SERVICES LLC

Location Address2255 CRAIN HWY STE 205Waldorf, MD 20601-3190

Mailing Address10612 Cheryl TurnWaldorf, MD 20603-6914 · (301) 377-4325

Phone(301) 377-4325

Organization SubpartNo

Authorized OfficialOluwatoyin R AdelakunOwner Of Entity · (301) 377-4325

Enumeration DateApril 15, 2025

Last NPPES UpdateSeptember 3, 2025

NPPES CertifiedSeptember 3, 2025

✔ NPI 1174319495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

2255 CRAIN HWY STE 205, Waldorf, MD 20601

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYNCHRONY BEHAVIORAL HEALTH SERVICES LLC

Nurse Practitioner (Psychiatric/Mental Health)

2255 CRAIN HWY STE 205
WALDORF, MD 20601

Charles County (667) 382-8624

DORIS OGUNMAKINWA PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

2255 CRAIN HWY STE 205
WALDORF, MD 20601

Charles County (667) 382-8624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Immaculate Behavioral Healthcare Services LLC's NPI number?

The NPI number for Immaculate Behavioral Healthcare Services LLC is 1174319495. It was assigned to this organization in the NPPES registry on April 15, 2025.

Where is Immaculate Behavioral Healthcare Services LLC located?

Immaculate Behavioral Healthcare Services LLC is located at 2255 Crain Hwy Ste 205, Waldorf, MD 20601. The listed phone number is (301) 377-4325.

What is Immaculate Behavioral Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Immaculate Behavioral Healthcare Services LLC was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.