AWESOME EXPERIENCE PSYCHIATRIC SERVICES LLC
NPI 1457949018
Clinic/Center - Multi-Specialty in Saint Charles, MD
About Awesome Experience Psychiatric Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AWESOME EXPERIENCE PSYCHIATRIC SERVICES LLC (NPI 1457949018) is a healthcare organization registered as a multi-specialty in Saint Charles, Maryland and active in the NPI registry since January 2021. The organization lists Siyami Takha, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Awesome Experience Psychiatric Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Awesome Experience Psychiatric Services LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Saint Charles, MD 20602
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Awesome Experience Psychiatric Services LLC's NPI number?
The NPI number for Awesome Experience Psychiatric Services LLC is 1457949018. It was assigned to this organization in the NPPES registry on January 8, 2021.
Where is Awesome Experience Psychiatric Services LLC located?
Awesome Experience Psychiatric Services LLC is located at 12070 Old Line Ctr Ste 211, Saint Charles, MD 20602. The listed phone number is (202) 600-6748.
What is Awesome Experience Psychiatric Services LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Awesome Experience Psychiatric Services LLC enrolled in Medicare?
Yes. Awesome Experience Psychiatric Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Awesome Experience Psychiatric Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Awesome Experience Psychiatric Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Awesome Experience Psychiatric Services LLC was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Awesome Experience Psychiatric Services Llc · NPI 1457949018
Multi-Specialty organization in Saint Charles, Maryland. Organization record, active in the CMS NPPES registry since January 8, 2021.
## Identity
- **NPI:** 1457949018 (Entity type: Organization)
- **Enumerated:** January 8, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Siyami Takha, PROVIDER
## Practice location
- **Address:** 12070 OLD LINE CTR STE 211, Saint Charles, MD 20602-2567
- **Phone:** (202) 600-6748 · **Fax:** (800) 521-0943
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1457949018) · Data from the CMS NPPES public registry.