1. Home
  2. Directory
  3. Maryland
  4. Bowie
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLUEWAVES MENTAL HEALTH SERVICES LLC
NPI 1770309155
Nurse Practitioner - Psychiatric/Mental Health in Bowie, MD

Active since December 02, 2024
9717 TRAVER ST, BOWIE, MD 20721(301) 732-9954 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 22, 2026, Dec 18, 2024, Dec 2, 2024 (3 updates tracked since 2024).

About Bluewaves Mental Health Services Llc NPPES

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

BLUEWAVES MENTAL HEALTH SERVICES LLC (NPI 1770309155) is a healthcare organization registered as a psychiatric/mental health in Bowie, Maryland and active in the NPI registry since December 2024. The organization maintains a secondary practice location in Washington and lists Olufunke A Carter, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1770309155
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBLUEWAVES MENTAL HEALTH SERVICES LLC
Location Address9717 TRAVER STBowie, MD 20721-1867
Mailing Address9717 Traver StBowie, MD 20721-1867 · (301) 732-9954 · Fax (240) 667-0476
Phone(301) 732-9954
Organization SubpartNo
Authorized OfficialOlufunke A CarterPmhnp-bc · (301) 732-9954
Enumeration DateDecember 2, 2024
Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1770309155 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
9717 TRAVER ST, Bowie, MD 20721
Open in Google Maps ↗

Secondary Practice Location 1

Location 11445 Howard Rd SEWashington, DC 20020-4406 · Phone (301) 732-9954

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

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

BABATUNDE SULE
Licensed Practical Nurse
9717 TRAVER ST
BOWIE, MD 20721
Prince George's County (301) 401-9104

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 Bluewaves Mental Health Services LLC's NPI number?

The NPI number for Bluewaves Mental Health Services LLC is 1770309155. It was assigned to this organization in the NPPES registry on December 2, 2024.

Where is Bluewaves Mental Health Services LLC located?

Bluewaves Mental Health Services LLC is located at 9717 Traver St, Bowie, MD 20721. The listed phone number is (301) 732-9954.

What is Bluewaves Mental Health 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 Bluewaves Mental Health Services LLC was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.