NPIMap

Organization Active NPI

Mbi Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
National Provider Identifier
1396111753
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LC301357 Issued in DC
Legal business name
MBI HEALTH SERVICES
Practice address
4130 Hunt PL NE
Washington, DC 20019-3565
Phone
(202) 388-4300
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Charles Avery
Title
Chief Executive Officer
Phone
(202) 388-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LC301357 DC Primary

Addresses

Primary practice location

4130 Hunt PL NE
Washington, DC 20019-3565

Mailing address

4130 Hunt PL NE
Washington, DC 20019-3565

National Provider Directory

National Provider Directory
Tax ID family
Mbi Health Services5 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": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1396111753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 HUNT PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 HUNT PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193565",
            "telephone_number": "202-388-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBI HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "202-388-4300"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "DC",
            "license": "LC301357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.