Mbi Health Services Virginia LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MBI HEALTH SERVICES VIRGINIA LLC

Practice address

7200 Wisconsin Ave Ste 702
Bethesda, MD 20814-4891

Phone

(202) 215-5348

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

John Kamya

Title

President

Phone

(202) 215-5348

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1336742048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 WISCONSIN AVE STE 702",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144891",
            "telephone_number": "202-215-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WISCONSIN AVE STE 702",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144891",
            "telephone_number": "202-215-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBI HEALTH SERVICES VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "KAMYA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-215-5348"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Mazziotta, D.D.S.
• Sara Elizabeth Mazzoni, MD
• Patricia Michelle Mazzullo, AU.D.
• Tianna Mbadugha, FNP
• Mbi Health Services MD LLC
• Maurice L McBride, IDC
• Kevin D McBryde, MD
• Catherine McCallum, LCSW-C
• Hannah McCarley
• Brent McCarragher, MD

• Adult Mental Health Clinic/Center in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Adult Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.