Organization Active NPI

Metropolitan Mental Health Clinic

  • Mental Health Counselor
  • Upper Marlboro, MD
National Provider Identifier
1194889550
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APPROVAL LETTER Issued in MD
Legal business name
METROPOLITAN MENTAL HEALTH CLINIC
Practice address
96 Harry S Truman Dr
Suite 250
Upper Marlboro, MD 20774-1000
Phone
(301) 324-0600
Fax
(301) 324-5009
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Makeitha Abdulbarr, LCPCNPI 1295921393
Title
Chief Administrative Officer
Phone
(301) 343-7765

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X APPROVAL LETTER MD Primary

Addresses

Primary practice location

96 Harry S Truman Dr
Suite 250
Upper Marlboro, MD 20774-1000

Mailing address

96 Harry S Truman Dr
Suite 250
Upper Marlboro, MD 20774-1000
Phone (301) 324-0600

National Provider Directory

National Provider Directory
Tax ID family
Metropolitan Mental Health Clinic2 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.

Locations

96 Harry S Truman Dr
Ste 250
Upper Marlboro, MD 20774
Phone (301) 324-0600

Practitioners & affiliated clinicians

Practitioners 7

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194889550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 HARRY S TRUMAN DR",
            "address_2": "SUITE 250",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741000",
            "telephone_number": "301-324-0600",
            "fax_number": "301-324-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 HARRY S TRUMAN DR",
            "address_2": "SUITE 250",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741000",
            "telephone_number": "301-324-0600",
            "fax_number": "301-324-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABDULBARR",
        "authorized_official_first_name": "MAKEITHA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "301-343-7765",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "APPROVAL LETTER",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.