Active NPI
Melvis Behavioral Health & Forensic Consultancy LLC
- Clinical Social Worker
- Accokeek, MD
National Provider Identifier
1396440376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MELVIS BEHAVIORAL HEALTH & FORENSIC CONSULTANCY LLC
- Practice address
- 404 Dyer Dr
Accokeek, MD 20607-9576 - Phone
- (240) 232-6365
- NPI assigned
- Mar 31, 2023
- Last updated
- Mar 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melvis N. Asongwed, LCSW-C, PH.DC
- Title
- Ceo
- Phone
- (202) 322-4707
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
404 Dyer Dr
Accokeek, MD 20607-9576
Mailing address
404 Dyer Dr
Accokeek, MD 20607-9576
Phone (202) 322-4707
National Provider Directory
National Provider DirectoryPractitioners & 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": "1680220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680220800000",
"number": "1396440376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 DYER DR",
"city": "ACCOKEEK",
"state": "MD",
"postal_code": "206079576",
"telephone_number": "202-322-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 DYER DR",
"city": "ACCOKEEK",
"state": "MD",
"postal_code": "206079576",
"telephone_number": "240-232-6365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELVIS BEHAVIORAL HEALTH & FORENSIC CONSULTANCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-31",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A",
"authorized_official_last_name": "ASONGWED",
"authorized_official_first_name": "MELVIS",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "202-322-4707",
"authorized_official_credential": "LCSW-C, PH.DC"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Accokeek, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.