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

NPI Status: Active since March 18, 2025

Contact Information

11571 LAURELWALK DR
LAUREL, MD
ZIP 20708
Phone: (240) 646-2414

Get Directions Reviews

  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About IMPACT HEALTHCARE SERVICES LLC

This page provides the complete NPI Profile along with additional information for Impact Healthcare Services Llc, a provider established in Laurel, Maryland operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1609676691 assigned on March 2025. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated March 2025. Impact Healthcare Services Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Taiwo Adeyemo (Co-owner)

NPI
1609676691
Provider Name
IMPACT HEALTHCARE SERVICES LLC
Entity Type
Organization
Location Address
11571 LAURELWALK DR LAUREL, MD 20708
Location Phone
(240) 646-2414
Mailing Address
11571 LAURELWALK DR LAUREL, MD 20708
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-18-2025
Last Update Date
03-18-2025
Code Navigator

A nurse practitioner (NP) like Impact Healthcare Services Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TAIWO ADEYEMO

Authorized Official Title
CO-OWNER
Authorized Official Phone
(240) 646-2414

Reviews for IMPACT HEALTHCARE SERVICES LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609676691
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260912712618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 2 + 7 + 1 + 2 + 6 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1609676691 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669945879 TAIWO O ADEYEMO
Individual
Nurse Practitioner (Psychiatric/Mental Health)11571 LAURELWALK DR
LAUREL, MD 20708
(301) 905-8522
1700500998RECOVER HEALTHCARE SERVICES LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))11571 LAURELWALK DR
LAUREL, MD 20708
(240) 646-2414

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609676691, enumerated in the NPI registry as an "organization" on March 18, 2025

The provider is located at 11571 Laurelwalk Dr Laurel, Md 20708 and the phone number is (240) 646-2414

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on March 18, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.