NPIMap

Organization Active NPI

Rehoboth Behavioral Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
National Provider Identifier
1285402412
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
REHOBOTH BEHAVIORAL SERVICES
Practice address
617 W Patrick St Ste 2
Frederick, MD 21701-4027
Phone
(443) 657-0024
NPI assigned
Dec 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Tunde S AkinsaweNPI 1831895051
Title
MD/Ceo
Phone
(443) 657-0023

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

617 W Patrick St Ste 2
Frederick, MD 21701-4027

Mailing address

617 W Patrick St Ste 2
Frederick, MD 21701-4027
Phone (443) 657-0024

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1285402412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W PATRICK ST STE 2",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014027",
            "telephone_number": "443-657-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W PATRICK ST STE 2",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014027",
            "telephone_number": "443-657-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "AKINSAWE",
        "authorized_official_first_name": "TUNDE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "443-657-0023"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.