Royal Behavioral Health Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ROYAL BEHAVIORAL HEALTH SERVICES LLC

Practice address

1125 Windy Branch Way
Edgewood, MD 21040-2166

Phone

(667) 228-1735

NPI assigned

Mar 3, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victoria PenderNPI 1679114755

Title

President/Provider

Phone

(667) 228-1735

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria M Pender, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosedale, MD
  • NPI 1679114755
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1003516626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 WINDY BRANCH WAY",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210402166",
            "telephone_number": "667-228-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 WINDY BRANCH WAY",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210402166",
            "telephone_number": "667-228-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "PENDER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "667-228-1735"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Medical Supplies
• Meghan Elizabeth Robinson, M.S., CCC-SLP
• Sam Eli Rodriguez
• Peter Hamilton Roth, DDS
• Jennifer Rowe
• RTS Edgewood
• Jay Yale Rudo, DDS
• Owuna Lynda Sam
• Oluseyi Yewande Sanni, PHARMD
• Celeste Ann Saunders, PMHNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Edgewood, MD
• Providers in Edgewood, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.