BOWIE PSYCHIATRIC PROFESSIONAL ASSOCIATE LLC
NPI 1821705930
Nurse Practitioner - Psychiatric/Mental Health in Bowie, MD

Q: What is Bowie Psychiatric Professional Associate LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 31, 2022

1007 KINGS HEATHER DR, BOWIE, MD 20721(301) 648-9340(301) 218-1090 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2026, Jun 23, 2025, Oct 31, 2022 (3 updates tracked since 2022).

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About Bowie Psychiatric Professional Associate Llc NPPES

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

BOWIE PSYCHIATRIC PROFESSIONAL ASSOCIATE LLC (NPI 1821705930) is a healthcare organization registered as a psychiatric/mental health in Bowie, Maryland and active in the NPI registry since October 2022. The organization lists Olaolu Fadairo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821705930

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameBOWIE PSYCHIATRIC PROFESSIONAL ASSOCIATE LLC

Location Address1007 KINGS HEATHER DRBowie, MD 20721-2010

Mailing Address1007 Kings Heather DrBowie, MD 20721-2010 · (301) 648-9340 · Fax (301) 218-1090

Phone(301) 648-9340

Fax(301) 218-1090

Organization SubpartNo

Authorized OfficialOlaolu FadairoCeo · (301) 648-9340

Enumeration DateOctober 31, 2022

Last NPPES UpdateApril 27, 20263 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1821705930 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

1007 KINGS HEATHER DR, Bowie, MD 20721

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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.

MR. OLAOLU FADAIRO NP

Nurse Practitioner (Psychiatric/Mental Health)

1007 KINGS HEATHER DR
BOWIE, MD 20721

Prince George's County (301) 648-9340

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 Bowie Psychiatric Professional Associate LLC's NPI number?

The NPI number for Bowie Psychiatric Professional Associate LLC is 1821705930. It was assigned to this organization in the NPPES registry on October 31, 2022.

Where is Bowie Psychiatric Professional Associate LLC located?

Bowie Psychiatric Professional Associate LLC is located at 1007 Kings Heather Dr, Bowie, MD 20721. The listed phone number is (301) 648-9340.

What is Bowie Psychiatric Professional Associate 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 Bowie Psychiatric Professional Associate LLC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.