Organization Active NPI

Seamagtek Healthcare Services, L.L.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beltsville, MD
National Provider Identifier
1124654652
Registry record updated Jul 5, 2022
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
SEAMAGTEK HEALTHCARE SERVICES, L.L.C.
Practice address
4600 Powder Mill Rd Ste 450-W
Beltsville, MD 20705-2675
Phone
(240) 349-6300
Fax
(979) 606-0062
NPI assigned
Mar 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Dr. Ernestine M Enohmbi, DNP, CRNP-FAMILY, CRNPI 1154726404
Title
Partner
Phone
(240) 349-6300

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WA0400X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Community Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LC1500X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

4600 Powder Mill Rd Ste 450-W
Beltsville, MD 20705-2675

Mailing address

13807 Clarkwood LN
Laurel, MD 20707-9437
Phone (240) 264-8120

Other practice location 1

13807 Clarkwood Ln
Laurel, MD 20707-9437
Phone (240) 264-8120

Other practice location 2

516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142
Phone (240) 349-6300

Other identifiers 2

IdentifierTypeStateIssuer
1790393056MedicaidMD
1124654652MedicaidMD

Other names 1

  • MD Telepsychiatric Center, L.L.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200727002517 DC Part B Supplier - Clinic/Group Practice 2466876248 Receives reassigned benefits from 2 practitioners
Practice locations: Beltsville, MD
O20210210001663 MD Part B Supplier - Clinic/Group Practice 2466876248 Receives reassigned benefits from 2 practitioners
Practice locations: Catonsville, MD

National Provider Directory

National Provider Directory
Tax ID family
MD Telepsychiatric Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4600 Powder Mill Rd
Ste 450W
Beltsville, MD 20705
Phone (240) 349-6300

516 N Rolling Rd
Ste 305
Catonsville, MD 21228
Phone (240) 245-6948

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1124654652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13807 CLARKWOOD LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079437",
            "telephone_number": "240-264-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 POWDER MILL RD STE 450-W",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052675",
            "telephone_number": "240-349-6300",
            "fax_number": "979-606-0062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13807 Clarkwood Ln",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207079437",
            "country_code": "US",
            "telephone_number": "240-264-8120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 N Rolling Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212284142",
            "country_code": "US",
            "telephone_number": "240-349-6300",
            "fax_number": "979-606-0062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEAMAGTEK HEALTHCARE SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "ENOHMBI",
        "authorized_official_first_name": "ERNESTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "240-349-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CRNP-FAMILY, CR"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790393056",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124654652",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Telepsychiatric Center, L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.