NPIMap

Organization Active NPI

Center for Behavioral Health and Wellness, LLC

  • Psychiatry Physician
  • Ellicott City, MD
National Provider Identifier
1437822319
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CENTER FOR BEHAVIORAL HEALTH AND WELLNESS, LLC
Practice address
9005 Chevrolet Dr Ste D
Ellicott City, MD 21042-4035
Phone
(202) 288-2834
NPI assigned
Jul 27, 2021
Last updated
Jul 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Dr. Deepan Chatterjee, PHDNPI 1114166170
Title
Owner/Ceo
Phone
(202) 288-2834

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)CodeLicenseStatePrimary
Psychologist 103T00000X
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

9005 Chevrolet Dr Ste D
Ellicott City, MD 21042-4035

Mailing address

9222 Maple Rock Dr
Ellicott City, MD 21042-1830
Phone (202) 288-2834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210927000095 MD Part B Supplier - Clinic/Group Practice 0345647806 Receives reassigned benefits from 7 practitioners
Practice locations: Ellicott City, MD

National Provider Directory

National Provider Directory

Locations

9005 Chevrolet Dr
Ste D
Ellicott City, MD 21042
Phone (202) 288-2834

Practitioners & affiliated clinicians

Practitioners 8

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": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1437822319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9222 MAPLE ROCK DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421830",
            "telephone_number": "202-288-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 CHEVROLET DR STE D",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210424035",
            "telephone_number": "202-288-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BEHAVIORAL HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "CHATTERJEE",
        "authorized_official_first_name": "DEEPAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "202-288-2834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.