Target Behavioral Health Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TARGET BEHAVIORAL HEALTH SERVICES, LLC

Practice address

15 E Churchville Rd Ste 106
Bel Air, MD 21014-3837

Phone

(410) 888-7143

Fax

(410) 888-7145

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Folashade R Kanimodo, PMHNP-BCNPI 1417174889

Title

Director

Phone

(410) 888-7143

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Target Behavioral Health Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bel Air, MD
  • NPI 1235749771

  O20220120000204

  Same enrollment

Tax ID family

Target Behavioral Health Services 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.

• Target Behavioral Health Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bel Air, MD
  • NPI 1235749771
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Folashade R Kanimodo, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1417174889
  NPD Authorized official

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1245811009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MOONSHADOW RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210154999",
            "telephone_number": "410-888-7143",
            "fax_number": "410-888-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E CHURCHVILLE RD STE 106",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143837",
            "telephone_number": "410-888-7143",
            "fax_number": "410-888-7145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Moonshadow Rd",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210154999",
            "country_code": "US",
            "telephone_number": "410-888-7143",
            "fax_number": "410-888-7145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TARGET BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "KANIMODO",
        "authorized_official_first_name": "FOLASHADE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-888-7143",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Tantoh
• Bo Tao, DO
• Emily Tarantola, LCPC
• Briar Tarbert
• Target Behavioral Health Services, LLC
• Elisabeth Ann Tauber
• Tore Taxdal, LCSW-C
• Alison Lauren Taylor, LCSW-C
• Angelica Taylor, LCSW-C
• Cassandra Taylor

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.