Active NPI
Ayebs Behavioral Services LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Frederick, MD
National Provider Identifier
1134820616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- AYEBS BEHAVIORAL SERVICES LLC
- Practice address
- 2823 Mill Island Pkwy
Frederick, MD 21701-6620 - Phone
- (301) 606-4206
- Fax
- (301) 970-3110
- NPI assigned
- Mar 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lilian Adamu, CRNP
- Title
- Owner
- Phone
- (240) 593-2421
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2823 Mill Island Pkwy
Frederick, MD 21701-6620
Mailing address
2823 Mill Island Pkwy
Frederick, MD 21701-6620
Phone (301) 606-4206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- JB Andrews, MD
- NPI 1174106991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684368000000",
"number": "1134820616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2823 MILL ISLAND PKWY",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016620",
"telephone_number": "301-606-4206",
"fax_number": "301-970-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2823 MILL ISLAND PKWY",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217016620",
"telephone_number": "301-606-4206",
"fax_number": "301-970-3110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AYEBS BEHAVIORAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-13",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A",
"authorized_official_last_name": "ADAMU",
"authorized_official_first_name": "LILIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-593-2421",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.