IMPACT HEALTHCARE SERVICES LLC
NPI 1609676691
Nurse Practitioner - Psychiatric/Mental Health in Laurel, MD

Active since March 18, 2025
11571 LAURELWALK DR, LAUREL, MD 20708(240) 646-2414 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Impact Healthcare Services Llc NPPES

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

IMPACT HEALTHCARE SERVICES LLC (NPI 1609676691) is a healthcare organization registered as a psychiatric/mental health in Laurel, Maryland and active in the NPI registry since March 2025. The organization lists Taiwo Adeyemo, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1609676691
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameIMPACT HEALTHCARE SERVICES LLC
Location Address11571 LAURELWALK DRLaurel, MD 20708-3001
Mailing Address11571 Laurelwalk DrLaurel, MD 20708-3001
Organization SubpartNo
Authorized OfficialTaiwo AdeyemoCo-owner · (240) 646-2414
Enumeration DateMarch 18, 2025
NPPES CertifiedMarch 18, 2025
NPI 1609676691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
11571 LAURELWALK DR, Laurel, MD 20708

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 3

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

Behavior Technician
11571 LAURELWALK DR
LAUREL, MD 20708
Nurse Practitioner (Family)
11571 LAURELWALK DR
LAUREL, MD 20708
Nurse Practitioner (Psychiatric/Mental Health)
11571 LAURELWALK DR
LAUREL, MD 20708

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 Impact Healthcare Services LLC's NPI number?

The NPI number for Impact Healthcare Services LLC is 1609676691. It was assigned to this organization in the NPPES registry on March 18, 2025.

Where is Impact Healthcare Services LLC located?

Impact Healthcare Services LLC is located at 11571 Laurelwalk Dr, Laurel, MD 20708. The listed phone number is (240) 646-2414.

What is Impact 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 Impact Healthcare Services LLC was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.