Bethel Health Agency

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

BETHEL HEALTH AGENCY

Practice address

7517 Blue Sun Dr
Glen Burnie, MD 21060-8789

Phone

(240) 469-0108

NPI assigned

Apr 24, 2025

Organization subpart

No

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

Authorized official

Name

Opeyemi Ifekoya

Title

Ceo

Phone

(240) 469-0108

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1225825896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 BLUE SUN DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608789",
            "telephone_number": "240-469-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 BLUE SUN DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608789",
            "telephone_number": "240-469-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "IFEKOYA",
        "authorized_official_first_name": "OPEYEMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-469-0108"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Tobias Bernstein, M.D.
• Dwight Leon Berry, D.D.S
• Elise Wendy Bershaw, LCSW-C
• Kevin James Bertha, R.PH.
• Arturo Esteban Betancourt, MD
• Elizabeth Bevilacqua, AU.D.
• Monica Bhagat, MD
• Nisha Rani Bhardwaj, AGAC CRNP
• Bhasin Pediatrics, LLC
• Samir Bhasin

• Adolescent and Children Mental Health Clinic/Center in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Adolescent and Children Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.