AWESOME EXPERIENCE PSYCHIATRIC SERVICES LLC NPI 1457949018

NPI Information

  • NPI: 1457949018
  • Provider Name: AWESOME EXPERIENCE PSYCHIATRIC SERVICES LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 5557 BALTIMORE AVE STE 500
    HYATTSVILLE, MD
    ZIP 20781
  • Phone: (202) 921-4211

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NPI Details

AWESOME EXPERIENCE PSYCHIATRIC SERVICES LLC is a multi-specialty clinic center in Hyattsville, MD. AWESOME EXPERIENCE PSYCHIATRIC SERVICES LLC NPI is 1457949018. The provider is registered as an organization entity type.

The provider's business location address is:

5557 BALTIMORE AVE STE 500
HYATTSVILLE, MD
ZIP 20781-922
Phone: (202) 921-4211

The provider's authorized official is Siyami Takha .
The authorized official title is Provider and has the following contact phone number (202) 705-4133.

The enumeration date for this NPI number is 1/8/2021 and was last updated on 1/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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