Buntu Behavioral Health Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BUNTU BEHAVIORAL HEALTH SERVICES

Practice address

2124 Nicole Way
Abingdon, MD 21009-3049

Phone

(667) 334-0779

NPI assigned

Apr 8, 2022

Organization subpart

No

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

Authorized official

Name

David Maina, PMHNP-BCNPI 1134746910

Title

President

Phone

(667) 334-0779

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Maina

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosedale, MD
  • NPI 1134746910
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1336881606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 NICOLE WAY",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210093049",
            "telephone_number": "667-334-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 NICOLE WAY",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210093049",
            "telephone_number": "667-334-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNTU BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "MAINA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "667-334-0779",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Riley Brown
• Lakeya Brown
• Stephen Gerard Buchness, MS, LCPC
• Lukman Olayinka Budale
• Hope Buler
• Sara A Burley, CCC - SLP
• Arthur Harry Burris, LCPC
• Melorin Burstein, DDS
• Jenifer Renee Butler, MA, MAML, LCPC
• Laura Byrd, PHARMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Abingdon, MD
• Providers in Abingdon, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.