Vantage Behavioral Health Services

Primary specialty

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

Legal business name

VANTAGE BEHAVIORAL HEALTH SERVICES

Practice address

5457 Twin Knolls Rd Ste 300-1116
Columbia, MD 21045-3259

Phone

(667) 417-9408

Fax

(667) 417-9408

NPI assigned

Jan 20, 2025

Organization subpart

No

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

Authorized official

Name

Abimbola C AdebayoNPI 1487335824

Title

President

Phone

(667) 417-9408

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abimbola Charles Adebayo

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
  • NPI 1487335824
  Medicare reassignment NPD Authorized official
• Nneka Wogu

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
  • NPI 1215649686
  Medicare reassignment NPD

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1114738978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 300-1116",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453259",
            "telephone_number": "667-417-9408",
            "fax_number": "667-417-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 300-1116",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453259",
            "telephone_number": "667-417-9408",
            "fax_number": "667-417-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "ADEBAYO",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "667-417-9408"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Vandermer
• Rahimatu Vandy
• Pamela Vanmeter, R.N.
• Tamara Lyn Vannewkirk, LCSW-C
• Kimberly Vanputten-Gardner, PH.D.
• Fany Varela
• Vania Vargas Sansuste
• Fiorella Vargas, BSN, RN
• Marcela Vargas
• Rachael A. Vargo, M.A., BCBA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Columbia, MD
• Providers in Columbia, 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 Jan 20, 2025; 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.