NPIMap

Organization Active NPI

Health Plus Behavioral and Primary Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Burnie, MD
National Provider Identifier
1407689698
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEALTH PLUS BEHAVIORAL AND PRIMARY CARE
Practice address
115 Delaware Ave
Glen Burnie, MD 21061-3013
Phone
(443) 354-4477
Fax
(443) 354-4666
NPI assigned
Aug 22, 2024
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH PLUS BEHAVIORAL AND PRIMARY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Emmanuel Kamdem-Sango, PMHNPNPI 1770080483
Title
President
Phone
(443) 354-4477

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 1

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

Addresses

Primary practice location

115 Delaware Ave
Glen Burnie, MD 21061-3013

Mailing address

115 Delaware Ave
Glen Burnie, MD 21061-3013
Phone (443) 354-4477

National Provider Directory

National Provider Directory
Tax ID family
Health Plus Behavioral and Primary Care3 organizations share this tax ID, including this one
Part of
Health Plus Behavioral and Primary Care

Other organizations with this tax ID 2

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

Locations

115 Delaware Ave
Glen Burnie, MD 21061
Phone (240) 354-1219

Ownership & related parties

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.

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": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1407689698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 DELAWARE AVE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613013",
            "telephone_number": "443-354-4477",
            "fax_number": "443-354-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 DELAWARE AVE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613013",
            "telephone_number": "443-354-4477",
            "fax_number": "443-354-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PLUS BEHAVIORAL AND PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH PLUS BEHAVIORAL AND PRIMARY CARE",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "KAMDEM-SANGO",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-354-4477",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.