NPIMap

Organization Active NPI

Imind Integration Health LLC

  • Rehabilitation Clinic/Center
  • Lanham, MD
National Provider Identifier
1174029474
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
BH000548 Issued in MD
Legal business name
IMIND INTEGRATION HEALTH LLC
Practice address
4640 Forbes Blvd Ste 375
Lanham, MD 20706-4323
Phone
(240) 249-0989
Fax
(240) 256-8887
NPI assigned
Apr 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Steven Flynn, OWNER
Title
Owner
Phone
(703) 395-2199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X BH000548 MD Primary

Addresses

Primary practice location

4640 Forbes Blvd Ste 375
Lanham, MD 20706-4323

Mailing address

4640 Forbes Blvd Ste 375
Lanham, MD 20706-4323
Phone (240) 249-0989

Other names 1

  • Life Skillz Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Imind Integration Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1174029474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 FORBES BLVD STE 375",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064323",
            "telephone_number": "240-249-0989",
            "fax_number": "240-256-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 FORBES BLVD STE 375",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064323",
            "telephone_number": "240-249-0989",
            "fax_number": "240-256-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMIND INTEGRATION HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-395-2199",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MD",
            "license": "BH000548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Skillz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.