Organization Active NPI

Canrina Nurturing Minds Behavioral Health Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hyattsville, MD
National Provider Identifier
1134837735
Registry record updated Feb 23, 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
CANRINA NURTURING MINDS BEHAVIORAL HEALTH CARE LLC
Practice address
7707 Swan Ter
Hyattsville, MD 20785-4680
Phone
(240) 305-8915
NPI assigned
Nov 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Canicia AnyiatemNPI 1932465382
Title
Provider
Phone
(240) 305-8915

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 Primary

Addresses

Primary practice location

7707 Swan Ter
Hyattsville, MD 20785-4680

Mailing address

7707 Swan Ter
Hyattsville, MD 20785-4680
Phone (240) 305-8915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230517002377 DC Part B Supplier - Clinic/Group Practice 2062878069 Receives reassigned benefits from 2 practitioners
Practice locations: Hyattsville, MD

National Provider Directory

National Provider Directory

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": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1134837735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 SWAN TER",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854680",
            "telephone_number": "240-305-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 SWAN TER",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854680",
            "telephone_number": "240-305-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANRINA NURTURING MINDS BEHAVIORAL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "ANYIATEM",
        "authorized_official_first_name": "CANICIA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "240-305-8915"
    },
    "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 Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.