OrganizationActive
Providence Neuropsychiatric Health, LLC
NPI 1710483409 · Psychiatry Physician · Monroe, GA
Provider details
- NPI number
- 1710483409
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adewumi Adebomojo, Owner(717) 460-8885
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
709 Breedlove Dr
Monroe, GA 30655-2055
Phone: (717) 460-8885
Street-level locationGet directions
Mailing address
2483 Heritage Village
Snellville, GA 30078
Registry dates
- Enumerated
- 2018-04-02
- Last updated
- 2022-10-30
- Certified
- 2022-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.