Richard K Bokoth I
Individual provider Active NPI Community/Behavioral Health Agency · Adelphi, MD
NPI 1407550262 · NPPES record last updated Mar 27, 2023
Key facts
- NPI
- 1407550262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 1836 Metzerott Rd Apt 1727
Adelphi, MD 20783-3452 - Phone
- (204) 704-2765
- NPI assigned
- Mar 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1836 Metzerott Rd Apt 1727
Adelphi, MD 20783-3452
Mailing address
1836 Metzerott Rd Apt 1727
Adelphi, MD 20783-3452
Phone (240) 704-2765
Other providers in Adelphi, MD
- Liya Temesgen Birhane
- Katia Birotte
- Nancy Birotte
- Julia Blanco
- Blossom Therapy Center LLC
- Tanya Bolden
- Elise Bona Nguebi Veuve Massoua
- Larissa Junil Kemgne Bougeka
- Bridge Stone Consultants, Inc.
- Jennifer Bruce
All providers in Adelphi, MD · Community/Behavioral Health Agency in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.