Mattdivine Healthcare and Wellness Services LLC
NPI 1902530702 · Psychiatric/Mental Health Nurse Practitioner · Laurel, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mattdivine Healthcare and Wellness Services LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Laurel, MD (NPI 1902530702).
Provider details
- NPI number
- 1902530702
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ogochukwu Enyi, Ceo(240) 501-0232
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2022-07-15
- Last updated
- 2022-07-15
- Certified
- 2022-07-15
Frequently asked questions
- What is Mattdivine Healthcare and Wellness Services LLC's NPI number?
- Mattdivine Healthcare and Wellness Services LLC's National Provider Identifier (NPI) is 1902530702, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mattdivine Healthcare and Wellness Services LLC?
- Mattdivine Healthcare and Wellness Services LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mattdivine Healthcare and Wellness Services LLC located?
- Mattdivine Healthcare and Wellness Services LLC's practice location on file with NPPES is 8506 Snowden Loop, Laurel, MD 20708-2360.
- What is Mattdivine Healthcare and Wellness Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Mattdivine Healthcare and Wellness Services LLC is (240) 501-0232.
- Does Mattdivine Healthcare and Wellness Services LLC accept Medicare?
- Mattdivine Healthcare and Wellness Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mattdivine Healthcare and Wellness Services LLC?
- The authorized official listed on Mattdivine Healthcare and Wellness Services LLC's NPPES record is Ogochukwu Enyi, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mattdivine Healthcare and Wellness Services LLC's NPI active?
- Yes — Mattdivine Healthcare and Wellness Services LLC's NPI (1902530702) is active in the NPPES registry as of the last update on 2022-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.