NPIMap

Organization Active NPI

Imind Health LLC

Doing business as iMind Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Hyattsville, MD
National Provider Identifier
1295356053
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
IMIND HEALTH LLC
Doing business as
iMind Behavioral Health
Practice address
1802 Brightseat Rd Ste 300
Hyattsville, MD 20785-4244
Phone
(240) 249-0989
NPI assigned
May 4, 2020
Last updated
May 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Authorized official

Name
Khanh-Linh Flynn
Title
Owner
Phone
(240) 249-0989

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU

Addresses

Primary practice location

1802 Brightseat Rd Ste 300
Hyattsville, MD 20785-4244

Mailing address

4703 Old Soper Rd Ste R1
Camp Springs, MD 20746-4030
Phone (240) 249-0989

Other names 1

  • iMind Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Imind Health LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1295356053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 OLD SOPER RD STE R1",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464030",
            "telephone_number": "240-249-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BRIGHTSEAT RD STE 300",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854244",
            "telephone_number": "240-249-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMIND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "KHANH-LINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-249-0989"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iMind Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.