NPIMap

Organization Active NPI

MMBR Behavioral Health Services Inc

  • Substance Abuse Rehabilitation Facility
  • Brooklyn, MD
National Provider Identifier
1346827250
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MMBR BEHAVIORAL HEALTH SERVICES INC
Practice address
3804 S.Hanover St
Brooklyn, MD 21225
Phone
(443) 438-3457
NPI assigned
Mar 26, 2021
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Mrs. Bolakunmi Yusuf
Title
Manager
Phone
(443) 438-3457

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

3804 S.Hanover St
Brooklyn, MD 21225

Mailing address

3804 S. Hanover St
Brooklyn, MD 21225
Phone (443) 438-3457

Other identifiers 1

IdentifierTypeStateIssuer
3016555086MedicaidMD

Other names 1

  • MMBR INC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mmbr.bhs@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
MMBR Behavioral Health Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1346827250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 S. HANOVER ST",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "21225",
            "telephone_number": "443-438-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 S.HANOVER ST",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "21225",
            "telephone_number": "443-438-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMBR BEHAVIORAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "BOLAKUNMI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-438-3457",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3016555086",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mmbr.bhs@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3804 S.HANOVER ST",
            "city": "BROOKLYN",
            "state": "MD",
            "country_code": "US",
            "postal_code": "21225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MMBR INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MMBR INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brooklyn, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.