Organization Active NPI

Behavioral Health and Therapy Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1265040653
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BEHAVIORAL HEALTH AND THERAPY CLINIC
Practice address
12501 Prosperity Dr Ste 330
Silver Spring, MD 20904-1655
Phone
(240) 899-5315
Fax
(240) 645-4013
NPI assigned
Jul 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Mr. Amaobi Hardy Agbor
Title
Authorized Official
Phone
(301) 693-2207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

12501 Prosperity Dr Ste 330
Silver Spring, MD 20904-1655

Mailing address

12501 Prosperity Dr Ste 330
Silver Spring, MD 20904-1655
Phone (240) 899-5315

Other names 1

  • Behavioral Health and Therapy Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1265040653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 PROSPERITY DR STE 330",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041655",
            "telephone_number": "240-899-5315",
            "fax_number": "240-645-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 PROSPERITY DR STE 330",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041655",
            "telephone_number": "240-899-5315",
            "fax_number": "240-645-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH AND THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-10-02",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "AGBOR",
        "authorized_official_first_name": "AMAOBI",
        "authorized_official_middle_name": "HARDY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "301-693-2207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health and Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

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