NPIMap

Organization Active NPI

Masterpiece Behavioral Health Solutions, LLC

  • Adult Mental Health Clinic/Center
  • Upper Marlboro, MD
National Provider Identifier
1164120432
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MASTERPIECE BEHAVIORAL HEALTH SOLUTIONS, LLC
Doing business as
Masterpiece BHS,LLC
Practice address
13332 Burleigh St
Upper Marlboro, MD 20774-1961
Phone
(240) 305-2144
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Mr. Olumide AkinwumiNPI 1881182459
Title
Psychiatric Mental Health NP
Phone
(240) 305-2144

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

13332 Burleigh St
Upper Marlboro, MD 20774-1961

Mailing address

13332 Burleigh St
Upper Marlboro, MD 20774-1961

Other names 1

  • Masterpiece BHS,LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Masterpiece Behavioral Health Solution 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.

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": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1164120432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13332 BURLEIGH ST",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13332 BURLEIGH ST",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741961",
            "telephone_number": "240-305-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERPIECE BEHAVIORAL HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-12",
        "status": "A",
        "authorized_official_last_name": "AKINWUMI",
        "authorized_official_first_name": "OLUMIDE",
        "authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NP",
        "authorized_official_telephone_number": "240-305-2144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masterpiece BHS,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.