Direct Behavioral Health Care Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DIRECT BEHAVIORAL HEALTH CARE SERVICES

Practice address

1000 Marshane Rd
Reisterstown, MD 21136-5860

Phone

(301) 785-3633

Fax

(631) 517-1222

NPI assigned

Aug 26, 2026

Organization subpart

No

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

Authorized official

Name

Juliet NumforNPI 1205554359

Title

Administrator

Phone

(301) 785-3633

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juliet Lum Numfor

  • Psychiatric/Mental Health Nurse Practitioner
  • Reisterstown, MD
  • NPI 1205554359
  NPD (past) Authorized official

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1285541136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MARSHANE RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365860",
            "telephone_number": "301-785-3633",
            "fax_number": "631-517-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MARSHANE RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365860",
            "telephone_number": "301-785-3633",
            "fax_number": "631-517-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT BEHAVIORAL HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "NUMFOR",
        "authorized_official_first_name": "JULIET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-785-3633"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gustavo Nicolas Diaz Revelo
• Eileen B Diener, LMSW
• Divine Health Psychiatric Services LLC
• Divine Health Psychiatric Services LLC
• Nicky Dolla
• Barbara Ann Donohoe, R.N.
• Donovinci LLC (ameriCARE Mid-Atlantic)

• Psychiatric/Mental Health Nurse Practitioner in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.