Active NPI
Hefuna Mental Health Wellness LLC
- Psychiatry Physician
- Olney, MD
National Provider Identifier
1144701772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- HEFUNA MENTAL HEALTH WELLNESS LLC
- Practice address
- 3416 Olandwood CT Ste 201
Olney, MD 20832-1373 - Phone
- (301) 969-4060
- NPI assigned
- Aug 22, 2018
- Organization subpart
- Yes
- Parent organization
- HEFUNA MENTAL HEALTH WELLNESS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolyn Reidy
- Title
- Manager
- Phone
- (845) 590-3230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
3416 Olandwood CT Ste 201
Olney, MD 20832-1373
Mailing address
7474 Greenway Center Dr
Greenbelt, MD 20770-3504
Phone (301) 982-3437
National Provider Directory
National Provider Directory- Tax ID family
- Hefuna Mental Health
- Part of
- Hefuna Mental Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Frederick, MD
- NPI 1538640057
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Psychiatry Physician
- Gaithersburg, MD
- NPI 1629470547
Practitioners & affiliated clinicians
Practitioners 1
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": "1534896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534896000000",
"number": "1144701772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 GREENWAY CENTER DR",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703504",
"telephone_number": "301-982-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3416 OLANDWOOD CT STE 201",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321373",
"telephone_number": "301-969-4060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEFUNA MENTAL HEALTH WELLNESS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEFUNA MENTAL HEALTH WELLNESS",
"enumeration_date": "2018-08-22",
"last_updated": "2018-08-22",
"status": "A",
"authorized_official_last_name": "REIDY",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "845-590-3230"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.