Healthcare Provider Details

I. General information

NPI: 1356251334
Provider Name (Legal Business Name): NOVA MINDS PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14440 CHERRY LANE CT STE 105
LAUREL MD
20707-4946
US

IV. Provider business mailing address

14440 CHERRY LANE CT STE 105
LAUREL MD
20707-4946
US

V. Phone/Fax

Practice location:
  • Phone: 301-448-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ADIAT AKINTUNDE
Title or Position: OWNER / PMHNP-BC
Credential: NURSE PRACTITIONER
Phone: 301-448-2037