Provider Demographics
NPI:1609672369
Name:NEWPSYCH LC
Entity type:Organization
Organization Name:NEWPSYCH LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOTUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUKOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-353-2259
Mailing Address - Street 1:6470 DOBBIN RD STE C
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-4767
Mailing Address - Country:US
Mailing Address - Phone:855-202-0401
Mailing Address - Fax:410-705-6070
Practice Address - Street 1:6470 DOBBIN RD STE C
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-4767
Practice Address - Country:US
Practice Address - Phone:855-202-0401
Practice Address - Fax:410-705-6070
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW PSYCH LC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty