Organization Active NPI

Wellness Behavioral Health Services LLC

  • Psychiatry Physician
  • Waldorf, MD
National Provider Identifier
1346881877
Registry record updated Oct 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WELLNESS BEHAVIORAL HEALTH SERVICES LLC
Doing business as
Wellness Behavioral Health Services LLC
Practice address
2170 Old Washington Rd Ste 104
Waldorf, MD 20601-3180
Phone
(434) 414-2209
NPI assigned
Oct 6, 2019
Last updated
Oct 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2019

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

Authorized official

Name
Priyanka Malhotra
Title
Office Manager
Phone
(301) 377-1836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

2170 Old Washington Rd Ste 104
Waldorf, MD 20601-3180

Mailing address

2010 Clearwood Dr
Bowie, MD 20721-2506
Phone (434) 414-2209

Other names 1

  • WELLNESS BEHAVIORAL HEALTH SERVICES LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2170 Old Washington Rd
Ste 104
Waldorf, MD 20601
Phone (434) 414-2209

NPI Registry JSON

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570320000000",
    "number": "1346881877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 CLEARWOOD DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212506",
            "telephone_number": "434-414-2209",
            "fax_number": "301-281-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 OLD WASHINGTON RD STE 104",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013180",
            "telephone_number": "434-414-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-06",
        "last_updated": "2019-10-06",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "PRIYANKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-377-1836"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLNESS BEHAVIORAL HEALTH SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2019; 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.