NPIMap

Organization Active NPI

Integrated Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Lanham, MD
National Provider Identifier
1386025351
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTEGRATED BEHAVIORAL HEALTH, LLC
Practice address
4200 Forbes Blvd Ste 110
Lanham, MD 20706-4374
Phone
(301) 499-4240
Fax
(240) 455-6847
NPI assigned
Jun 15, 2015
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRATED BEHAVIORAL HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Satwant KaurNPI 1164334140
Title
Owner
Phone
(202) 607-6932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Primary Care Nurse Practitioner 363LP2300X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4200 Forbes Blvd Ste 110
Lanham, MD 20706-4374

Mailing address

12404 Winding LN
Bowie, MD 20715-1234
Phone (202) 607-6932

National Provider Directory

National Provider Directory
Tax ID family
Intg BH LLC4 organizations share this tax ID, including this one
Part of
Intg BH LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9171 Central Ave
Ste L3
Capitol Heights, MD 20743

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1386025351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12404 WINDING LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151234",
            "telephone_number": "202-607-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 FORBES BLVD STE 110",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064374",
            "telephone_number": "301-499-4240",
            "fax_number": "240-455-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED BEHAVIORAL HEALTH, LLC",
        "enumeration_date": "2015-06-15",
        "last_updated": "2023-11-02",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "SATWANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-607-6932"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.