Organization Active NPI

Affinity Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Upper Marlboro, MD
National Provider Identifier
1497669980
Registry record updated Sep 30, 2026
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
AFFINITY BEHAVIORAL HEALTH LLC
Practice address
14101 Town Farm Rd
Upper Marlboro, MD 20774-8540
Phone
(910) 237-3307
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Fidelis Sama Atabong
Title
Ceo
Phone
(910) 237-3307

Specialties & licenses 1

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

Addresses

Primary practice location

14101 Town Farm Rd
Upper Marlboro, MD 20774-8540

Mailing address

14101 Town Farm Rd
Upper Marlboro, MD 20774-8540
Phone (910) 237-3307

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1497669980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 TOWN FARM RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748540",
            "telephone_number": "910-237-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 TOWN FARM RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748540",
            "telephone_number": "910-237-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "ATABONG",
        "authorized_official_first_name": "FIDELIS",
        "authorized_official_middle_name": "SAMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-237-3307"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.