Organization · Type 2 NPI

Synchrony Behavioral Health Services LLC

Psychiatric/Mental Health Nurse Practitioner · Waldorf, MD

NPI number 1265283899 Active

Practice location

2255 Crain Hwy Ste 205
Waldorf, MD 20601-3190

Call (667) 382-8624 Map

Fax (667) 218-3708

Mailing address

2925 Winterbourne Dr
Upper Marlboro, MD 20774-9103

Other practice locations

2 Industrial Park Dr Ste D, Waldorf, MD 20602-2729 · (667) 382-8624

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

Other psychiatric/mental health nurse practitioner providers in Waldorf

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NPI record

NPI: 1265283899
Entity type: Organization (Type 2)
Issued: Apr 1, 2024
Last updated: May 31, 2026
Status: Active

Other names

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Synchrony Behavioral Health Services LLC · doing business as
Synchrony Behavioral Health Services LLC · doing business as

Authorized official

Doris Ogunmakinwa
Owner/ceo
(667) 382-8624

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265283899

Synchrony Behavioral Health Services LLC's National Provider Identifier is 1265283899, issued on Apr 1, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waldorf, MD. The record was last updated on May 31, 2026.