AWESOME EXPERIENCE PSYCHIATRIC SERVICES LLC
NPI 1457949018
Clinic/Center - Multi-Specialty in Saint Charles, MD

Active since January 08, 2021
12070 OLD LINE CTR STE 211, SAINT CHARLES, MD 20602(202) 600-6748(800) 521-0943 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1457949018
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameAWESOME EXPERIENCE PSYCHIATRIC SERVICES LLC
Location Address12070 OLD LINE CTR STE 211Saint Charles, MD 20602-2567
Mailing Address12070 Old Line Ctr Ste 211Saint Charles, MD 20602-2567 · (202) 600-6748 · Fax (800) 521-0943
Fax(800) 521-0943
Organization SubpartNo
Authorized OfficialSiyami TakhaProvider · (202) 705-4133
Enumeration DateJanuary 8, 2021
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
NPI 1457949018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
12070 OLD LINE CTR STE 211, Saint Charles, MD 20602

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.

Nurse Practitioner (Psychiatric/Mental Health)
12070 OLD LINE CTR STE 211
SAINT CHARLES, MD 20602
Nurse Practitioner (Psychiatric/Mental Health)
12070 OLD LINE CTR STE 211
WALDORF, MD 20602

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.

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 5 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.