Innovative Psychiatric Associates LLC

Primary specialty

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

Legal business name

INNOVATIVE PSYCHIATRIC ASSOCIATES LLC

Practice address

801 Wayne Ave Ste G100
Silver Spring, MD 20910-4493

Phone

(301) 615-8752

Fax

(240) 660-5460

NPI assigned

Oct 25, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Christopher James Tundo, CRNPNPI 1316432172

Title

Owner

Phone

(202) 322-9350

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Innovative Behavioral Medicine LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 2

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

• Christopher James Tundo, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Silver Spring, MD
  • NPI 1316432172

  Adult Mental Health, DC

  Medicare reassignment Care Compare group NPD Authorized official
• Dorlin Bukirwa

  • Psychiatric/Mental Health Nurse Practitioner
  • Silver Spring, MD
  • NPI 1174417679

  DC

  Medicare reassignment Care Compare group NPD

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

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    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1043853740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WAYNE AVE STE G100",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104493",
            "telephone_number": "202-322-9350",
            "fax_number": "240-660-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WAYNE AVE STE G100",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104493",
            "telephone_number": "301-615-8752",
            "fax_number": "240-660-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PSYCHIATRIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "TUNDO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-322-9350",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "778129600",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.crisphealth.org/redirect/?continue=https://hieportal.force.com/PDMP/s",
            "affiliation": "N",
            "endpointDescription": "Maryland CRISP PDMP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "801 WAYNE AVE",
            "address_2": "SUITE G100",
            "city": "SILVER SPRING",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209104493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Innovative Behavioral Medicine LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Silver Spring, MD
• Providers in Silver Spring, 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 May 21, 2026; 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.