NPIMap

Organization Active NPI

Metropolitan Mental Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Upper Marlboro, MD
National Provider Identifier
1518119668
Registry record updated Oct 21, 2008
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
METROPOLITAN MENTAL HEALTH CLINIC
Practice address
96 Harry S Truman Dr
Suite 250
Upper Marlboro, MD 20774-1000
Phone
(301) 324-0600
NPI assigned
Oct 21, 2008
Last updated
Oct 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Mrs. Makeitha Abdulbarr, LCPCNPI 1295921393
Title
Chief Executive Officer
Phone
(301) 324-0600

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 MD Primary

Addresses

Primary practice location

96 Harry S Truman Dr
Suite 250
Upper Marlboro, MD 20774-1000

Mailing address

96 Harry S Truman Dr
Suite 250
Upper Marlboro, MD 20774-1000
Phone (301) 324-0600

Other identifiers 1

IdentifierTypeStateIssuer
404173900MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Metropolitan Mental Health Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

96 Harry S Truman Dr
Ste 250
Upper Marlboro, MD 20774
Phone (301) 324-0600

Practitioners & affiliated clinicians

Practitioners 6

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": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1518119668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 HARRY S TRUMAN DR",
            "address_2": "SUITE 250",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741000",
            "telephone_number": "301-324-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 HARRY S TRUMAN DR",
            "address_2": "SUITE 250",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741000",
            "telephone_number": "301-324-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "ABDULBARR",
        "authorized_official_first_name": "MAKEITHA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "301-324-0600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404173900",
            "state": "MD"
        }
    ],
    "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 Oct 21, 2008; 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.