Organization Active NPI

Diamond Behavioral Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hyattsville, MD
National Provider Identifier
1104563824
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DIAMOND BEHAVIORAL SERVICES LLC
Practice address
516 Hill Rd
Hyattsville, MD 20785-4617
Phone
(202) 390-4129
NPI assigned
May 14, 2022
Last updated
Feb 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Chinyere Adibe, PSYCH-NPNPI 1770840480
Title
Provider
Phone
(202) 390-4129

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

516 Hill Rd
Hyattsville, MD 20785-4617

Mailing address

10451 Mill Run Cir Ste 415
Owings Mills, MD 21117-5577
Phone (202) 390-4129

Other practice location 1

10451 Mill Run Cir Ste 415
Owings Mills, MD 21117-5577
Phone (301) 892-6721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220708000041 MD Part B Supplier - Clinic/Group Practice 9638559610 Receives reassigned benefits from 1 practitioner
Practice locations: Owings Mills, MD

National Provider Directory

National Provider Directory
Tax ID family
Diamond Healthcare Services LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

10451 Mill Run Cir
Ste 415
Owings Mills, MD 21117
Phone (301) 892-6721

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": "1652486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1104563824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10451 MILL RUN CIR STE 415",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175577",
            "telephone_number": "202-390-4129",
            "fax_number": "240-444-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 HILL RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854617",
            "telephone_number": "202-390-4129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10451 Mill Run Cir Ste 415",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175577",
            "country_code": "US",
            "telephone_number": "301-892-6721",
            "fax_number": "240-444-8145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIAMOND BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-14",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "ADIBE",
        "authorized_official_first_name": "CHINYERE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "202-390-4129",
        "authorized_official_credential": "PSYCH-NP"
    },
    "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": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.