DIVINE HEALTH PSYCHIATRIC SERVICES LLC
NPI 1447930706
Clinic/Center - Multi-Specialty in Reisterstown, MD

Active since July 21, 2023
117 E CHERRY HILL RD, REISTERSTOWN, MD 21136(443) 204-3919(410) 521-3671 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Health Psychiatric Services Llc NPPES

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

DIVINE HEALTH PSYCHIATRIC SERVICES LLC (NPI 1447930706) is a healthcare organization registered as a multi-specialty in Reisterstown, Maryland and active in the NPI registry since July 2023. The organization lists Emmanuel Gbala, President, as its authorized official.

NPPES Registry Identity

NPI1447930706
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameDIVINE HEALTH PSYCHIATRIC SERVICES LLC
Location Address117 E CHERRY HILL RDReisterstown, MD 21136-3023
Mailing Address117 E Cherry Hill RdReisterstown, MD 21136-3023 · (443) 204-3919 · Fax (410) 521-3671
Fax(410) 521-3671
Organization SubpartNo
Authorized OfficialEmmanuel GbalaPresident · (443) 204-3919
Enumeration DateJuly 21, 2023
NPPES CertifiedJuly 21, 2023
NPI 1447930706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
117 E CHERRY HILL RD, Reisterstown, MD 21136

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Psychiatric/Mental Health)
117 E CHERRY HILL RD
REISTERSTOWN, MD 21136
Nurse Practitioner (Psychiatric/Mental Health)
117 E CHERRY HILL RD
REISTERSTOWN, MD 21136
Behavior Technician
117 E CHERRY HILL RD
REISTERSTOWN, MD 21136

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 Divine Health Psychiatric Services LLC's NPI number?

The NPI number for Divine Health Psychiatric Services LLC is 1447930706. It was assigned to this organization in the NPPES registry on July 21, 2023.

Where is Divine Health Psychiatric Services LLC located?

Divine Health Psychiatric Services LLC is located at 117 E Cherry Hill Rd, Reisterstown, MD 21136. The listed phone number is (443) 204-3919.

What is Divine Health Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Divine Health Psychiatric Services LLC was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.