Victory Psychiatric and Mental Health Services, LLC

Primary specialty

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

Legal business name

VICTORY PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC

Practice address

9407 Bluefield Rd
Springdale, MD 20774-5435

Phone

(240) 260-8286

NPI assigned

Mar 9, 2022

Last updated

Mar 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victorine CHI

Title

Provider

Phone

(240) 260-8286

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1376290213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9407 BLUEFIELD RD",
            "city": "SPRINGDALE",
            "state": "MD",
            "postal_code": "207745435",
            "telephone_number": "240-260-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9407 BLUEFIELD RD",
            "city": "SPRINGDALE",
            "state": "MD",
            "postal_code": "207745435",
            "telephone_number": "240-260-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "VICTORINE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "240-260-8286"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Springdale, MD
• Providers in Springdale, 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 Mar 9, 2022; 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.