Beyond Mental Health LLC
Organization Active NPI Nurse Practitioner · Dundalk, MD
NPI 1114801396 · NPPES record last updated Aug 22, 2025
Key facts
- NPI
- 1114801396
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- BEYOND MENTAL HEALTH LLC
- Practice address
- 2007 Paulette Rd Apt 203
Dundalk, MD 21222-5880 - Phone
- (202) 300-7616
- NPI assigned
- Aug 1, 2025
- Organization subpart
- No
Authorized official
- Name
- Donalt Mutimura
- Title
- Owner
- Phone
- (585) 685-3561
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250820000518 | MD | Part B Supplier - Clinic/Group Practice | 7416456009 |
Receives reassigned benefits from 1 practitioner Practice locations: Dundalk, MD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
2007 Paulette Rd Apt 203
Dundalk, MD 21222-5880
Mailing address
2007 Paulette Rd Apt 203
Dundalk, MD 21222-5880
Phone (202) 300-7616
Other practice location 1
152 Barrington St Apt 209
Rochester, NY 14607-2954
Phone (585) 685-3561
Other providers in Dundalk, MD
- Baltimore County Maryland
- Elizabeth Anne Barlow
- BD Health Services, Inc
- BD Health Services, Inc.
- Trina Lynn Bennett
- Christina Blackwell
- Marcia A Blotzer
- Rebekah Bon
- Marie Bourke
- Nicholas Steven Bower
All providers in Dundalk, MD · Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.