Individual provider Active NPI

Mohnd Wael Khalaifeh

  • Behavior Technician
  • Baltimore, MD
National Provider Identifier
1356088033
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
400 E Pratt St FL 8
Baltimore, MD 21202-3180
Phone
(833) 599-2560
NPI assigned
May 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

400 E Pratt St FL 8
Baltimore, MD 21202-3180

Mailing address

850 Towbin Ave
Lakewood, NJ 08701-5928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250925005002 DC Practitioner - Clinical Social Worker 6103321518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1802 Brightseat Rd
Suite 300
Hyattsville, MD 20785-4244

PO Box
Suite 833
Monroe, VA 24574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Imind Health LLC CurrentSince Aug 1, 2025 Accepting new patients
Imind Health LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1802 Brightseat Rd
Ste 300
Landover, MD 20785
Phone (240) 249-0989

4640 Forbes Blvd
Ste 375
Lanham, MD 20706
Phone (240) 249-0989

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1356088033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 TOWBIN AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E PRATT ST FL 8",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023180",
            "telephone_number": "833-599-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALAIFEH",
        "first_name": "MOHND",
        "middle_name": "WAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.