Active NPI
Riseabove Behavioral Health Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Bowie, MD
National Provider Identifier
1073106654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- RISEABOVE BEHAVIORAL HEALTH SERVICES LLC
- Doing business as
- RiseAbove Behavioral health Services LLC
- Practice address
- 14999 Health Center Dr Ste 202
Bowie, MD 20716-1079 - Phone
- (301) 249-8100
- NPI assigned
- Feb 15, 2021
- Last updated
- Feb 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Abitha Priya Perumal, NP
- Title
- NP
- Phone
- (716) 601-4246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
14999 Health Center Dr Ste 202
Bowie, MD 20716-1079
Mailing address
2767 Saint Johns LN
Ellicott City, MD 21042-2552
Phone (716) 601-4246
Other names 1
- RiseAbove Behavioral health Services LLC
National Provider Directory
National Provider DirectoryLocations
14999 Health Center Dr
Ste 202
Bowie, MD 20716
Phone (301) 218-4220
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Ellicott City, MD
- NPI 1760011340
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613347200000",
"number": "1073106654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2767 SAINT JOHNS LN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210422552",
"telephone_number": "716-601-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14999 HEALTH CENTER DR STE 202",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161079",
"telephone_number": "301-249-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISEABOVE BEHAVIORAL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-15",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A",
"authorized_official_last_name": "PERUMAL",
"authorized_official_first_name": "ABITHA",
"authorized_official_middle_name": "PRIYA",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "716-601-4246",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RiseAbove Behavioral health Services LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.