NPIMap

Organization Active NPI

Community Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Denton, MD
National Provider Identifier
1235859786
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY BEHAVIORAL HEALTH, LLC
Practice address
1140 Blades Farm Rd Ste 202
Denton, MD 21629-3489
Phone
(844) 224-5264
NPI assigned
Sep 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Lacy Gilbert
Title
Credentialing Manager
Phone
(844) 224-5264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1140 Blades Farm Rd Ste 202
Denton, MD 21629-3489

Mailing address

426 Dorchester Ave
Cambridge, MD 21613-2446
Phone (844) 224-5264

Other identifiers 1

IdentifierTypeStateIssuer
422612701MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.communitybehavioralhealth.net

National Provider Directory

National Provider Directory
Tax ID family
Comm Behav HLTH LLC60 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1140 Blades Farm Rd
Ste 202
Denton, MD 21629
Phone (410) 204-4554

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1235859786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 DORCHESTER AVE",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132446",
            "telephone_number": "844-224-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BLADES FARM RD STE 202",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216293489",
            "telephone_number": "844-224-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "LACY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "844-224-5264"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422612701",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.communitybehavioralhealth.net",
            "affiliation": "N",
            "address_1": "1140 Blades Farm Rd Ste 202",
            "city": "Denton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "216293489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.