Organization Active NPI

Riseabove Behavioral Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1073106654
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.