Kemoda Behavioral Health LLC

Primary specialty

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

Legal business name

KEMODA BEHAVIORAL HEALTH LLC

Practice address

1515 Martin Blvd Ste 201
Middle River, MD 21220-4103

Phone

(410) 929-3846

NPI assigned

Oct 3, 2024

Last updated

Dec 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Veronica OgeNPI 1801591078

Title

President

Phone

(443) 224-8301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

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.

• Veronica Oge, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Middle River, MD
  • NPI 1801591078
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1083433411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MARTIN BLVD STE 201",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212204103",
            "telephone_number": "410-929-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MARTIN BLVD STE 201",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212204103",
            "telephone_number": "410-929-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMODA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "OGE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-224-8301"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiyonna Jones
• Laura Joseph, CRNP
• David A Joyner II
• Suprina Kaur
• Erica Danyelle Kelly, LMSW
• Kennedy Krieger Associates
• Kennedy Krieger Children's Hospital, Inc. (Kennedy Krieger Institute)
• Brittany Kennedy
• George Charles Kochman III, MD
• Johhn J Krack, D.D.S.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Middle River, MD
• Providers in Middle River, 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 Dec 9, 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.