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PRIMAL MENTAL HEALTH CARE LLC
NPI 1861297202
Community/Behavioral Health in Bowie, MD

Active since February 18, 2025
14300 GALLANT FOX LN, BOWIE, MD 20715(240) 423-5690(240) 558-6915 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 2, 2025, Feb 18, 2025 (2 updates tracked since 2025).

About Primal Mental Health Care Llc NPPES

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

PRIMAL MENTAL HEALTH CARE LLC (NPI 1861297202) is a healthcare organization registered as a community/behavioral health in Bowie, Maryland and active in the NPI registry since February 2025. The organization lists Ivonne Nwadike, Owner, as its authorized official.

NPPES Registry Identity

NPI1861297202
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePRIMAL MENTAL HEALTH CARE LLC
Location Address14300 GALLANT FOX LNBowie, MD 20715-4003
Mailing Address14300 Gallant Fox LnBowie, MD 20715-4003 · (240) 423-5690 · Fax (240) 558-6915
Phone(240) 423-5690
Fax(240) 558-6915
Organization SubpartNo
Authorized OfficialIvonne NwadikeOwner · (240) 423-5690
Enumeration DateFebruary 18, 2025
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1861297202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedFamily MedicineTaxonomy 207Q00000X
14300 GALLANT FOX LN, Bowie, MD 20715
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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 20

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

DR. RAKESH ARORA M.D.
Family Medicine
14300 GALLANT FOX LN, SUITE 222
BOWIE, MD 20715
Prince George's County (301) 262-7800
RAKESH ARORA M.D. F.A.A. F.P.,P.A.
Family Medicine
14300 GALLANT FOX LN, SUITE 222
BOWIE, MD 20715
Prince George's County (301) 262-7800
DR. JAMES HOWARD WISE PH.D.
Psychologist
14300 GALLANT FOX LN, SUITE 211
BOWIE, MD 20715
Prince George's County (301) 262-2828
KATHLEEN TOMCZYK BOETCHER P.A.
Physician Assistant
14300 GALLANT FOX LN, SUITE 118
BOWIE, MD 20715
Prince George's County (301) 464-3020
MS. MARSHA ROSS LCSW-C
Social Worker (Clinical)
14300 GALLANT FOX LN, SUITE 216
BOWIE, MD 20715
Prince George's County (301) 805-8565
MS. DIANE PISANO LCSW C
Social Worker
14300 GALLANT FOX LN, SUITE 107
BOWIE, MD 20715
Prince George's County (301) 805-5124
RONALD F MOSER, D.D.S., P.A.
Dentist
14300 GALLANT FOX LN, SUITE 208
BOWIE, MD 20715
Prince George's County (301) 464-3500
PHS MULTISPECIALTY SERVICES
Surgery
14300 GALLANT FOX LN, SUITE 224
BOWIE, MD 20715
Prince George's County (301) 262-8291

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 Primal Mental Health Care LLC's NPI number?

The NPI number for Primal Mental Health Care LLC is 1861297202. It was assigned to this organization in the NPPES registry on February 18, 2025.

Where is Primal Mental Health Care LLC located?

Primal Mental Health Care LLC is located at 14300 Gallant Fox Ln, Bowie, MD 20715. The listed phone number is (240) 423-5690.

What is Primal Mental Health Care LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Primal Mental Health Care LLC was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.