Devine Grace Behavioral Health Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DEVINE GRACE BEHAVIORAL HEALTH CENTER, LLC

Practice address

2114 N Fulton Ave
Baltimore, MD 21217-1307

Phone

(240) 762-6772

NPI assigned

Sep 23, 2024

Organization subpart

Yes

Parent organization

DEVINE GRACE BEHAVIORAL HEALTH CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Elizabeth Maxwell

Title

Admin

Phone

(443) 995-3893

Specialties & licenses 1

Addresses

Other names 1

• A Journey Forward Behavioral Health Center Doing business as

Part of

Devine Grace Behavioral Health Center LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Devine Grace Behavioral Health Center, LLC

  • Community/Behavioral Health Agency
  • Waldorf, MD
  • NPI 1003670605
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Folake Aloba, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyattsville, MD
  • NPI 1255753489
  NPD

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1396562153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7502 DOGWOOD LN",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210763170",
            "telephone_number": "443-995-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 N FULTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171307",
            "telephone_number": "240-762-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE GRACE BEHAVIORAL HEALTH CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEVINE GRACE BEHAVIORAL HEALTH CENTER, LLC",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "443-995-3893"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Journey Forward Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roger Dever II, LCSW-C (19689)
• Puneet Singh Devgun, DO
• Eva Devience, M.D.
• Kathleen Devilbiss
• Angela Devincentis, CRNP
• Devine Synergy LCC
• Devine Synergy LCC
• Devine Synergy LCC
• Elizabeth Devine
• Jacqueline Devita

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.