MJB Holistic and Therapeutic Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MJB HOLISTIC AND THERAPEUTIC SERVICES

Practice address

1300 Mercantile LN Ste 129-14
Upper Marlboro, MD 20774-5327

Phone

(301) 381-3622

NPI assigned

Feb 7, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Melveena Johnson-Bolden, PMHNP-BCNPI 1922761956

Title

Ceo/Nurse Practitioner

Phone

(240) 301-1034

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in DC

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.

• Melveena Johnson-Bolden, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
  • NPI 1922761956

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1093469231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN STE 129-14",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "301-381-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN STE 129-14",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "301-381-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJB HOLISTIC AND THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-BOLDEN",
        "authorized_official_first_name": "MELVEENA",
        "authorized_official_title_or_position": "CEO/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-301-1034",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LIC",
            "identifier": "B435599428868",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bowie",
            "affiliation": "N",
            "endpointDescription": "Business",
            "address_1": "4450 Mitchellville Rd # 1174",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207163112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bowie",
            "affiliation": "N",
            "address_1": "4450 Mitchellville Rd # 1174",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207163112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Mitchell
• Joshua Mitchell
• Richard Mitchell
• Sandra Mitchell
• Mutuiri Mituruciu
• MNR Industries, LLC
• Britt Mobley
• John Onyoli Mofa
• Tadjoua Marinette Mogou
• Christabelle Joso Molinga

• Community/Behavioral Health Agency in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.