NPIMap

Organization Active NPI

Nimel Mental Health

  • Recovery Care Clinic/Center
  • Berwyn Heights, MD
National Provider Identifier
1053986067
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
NIMEL MENTAL HEALTH
Practice address
6215 Greenbelt Rd Ste 107
Berwyn Heights, MD 20740-2355
Phone
(301) 272-1558
NPI assigned
May 21, 2021
Organization subpart
Yes
Parent organization
NIMEL MENTAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Mosunmola Sandra LakeNPI 1275050288
Title
Manager
Phone
(301) 272-1558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

6215 Greenbelt Rd Ste 107
Berwyn Heights, MD 20740-2355

Mailing address

10801 Green Ash LN
Beltsville, MD 20705-3851

National Provider Directory

National Provider Directory
Tax ID family
Nimel Mental Health17 organizations share this tax ID, including this one
Part of
Nimel Mental Health

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

6215 Greenbelt Rd
Ste 107
Berwyn Heights, MD 20740
Phone (301) 263-4890

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1053986067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 GREEN ASH LN",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 GREENBELT RD STE 107",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402355",
            "telephone_number": "301-272-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMEL MENTAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIMEL MENTAL HEALTH",
        "enumeration_date": "2021-05-21",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "MOSUNMOLA",
        "authorized_official_middle_name": "SANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-272-1558"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.