NPIMap

Organization Active NPI

Sunflower Behavioral Health Services, LLC

  • Professional Counselor
  • Waldorf, MD
National Provider Identifier
1487915427
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC0773 Issued in MD
Legal business name
SUNFLOWER BEHAVIORAL HEALTH SERVICES, LLC
Practice address
3195 Old Washington Rd
227
Waldorf, MD 20602-3201
Phone
(301) 638-7181
Fax
(301) 638-7182
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Ms. Malinda Diann Royster, LCPC
Title
Owner
Phone
(301) 638-7181

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LC0773 MD Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 12510 MD

Addresses

Primary practice location

3195 Old Washington Rd
227
Waldorf, MD 20602-3201

Mailing address

3195 Old Washington Rd
Suite 227
Waldorf, MD 20602-3201
Phone (301) 638-7181

Other identifiers 2

IdentifierTypeStateIssuer
620400700MedicaidMD
678917OtherMDMARYLANDVALUEOPTIONS

National Provider Directory

National Provider Directory

Locations

3195 Old Washington Rd
Ste 227
Waldorf, MD 20602

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1487915427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 OLD WASHINGTON RD",
            "address_2": "SUITE 227",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023201",
            "telephone_number": "301-638-7181",
            "fax_number": "301-638-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 OLD WASHINGTON RD",
            "address_2": "227",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023201",
            "telephone_number": "301-638-7181",
            "fax_number": "301-638-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "ROYSTER",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_middle_name": "DIANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-638-7181",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC0773",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620400700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLANDVALUEOPTIONS",
            "identifier": "678917",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.