Utopia Health Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

4473 Issued in MD

Legal business name

UTOPIA HEALTH SERVICES

Doing business as

Psychiatric Rehabilitation Program

Practice address

14300 Gallant Fox LN
Suite 213
Bowie, MD 20715-4003

Phone

(301) 383-1629

Fax

(301) 383-1632

NPI assigned

Jun 20, 2013

Last updated

Jun 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. NA'Imah Fareedah Sedegah, LCPC, CRC, NCC

Title

Ceo/Executive Director

Phone

(301) 383-1629

Specialties & licenses 1

Addresses

Other names 1

• Psychiatric Rehabilitation Program Doing business as

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1538508783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN",
            "address_2": "SUITE 213",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154003",
            "telephone_number": "301-383-1629",
            "fax_number": "301-383-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN",
            "address_2": "SUITE 213",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154003",
            "telephone_number": "301-383-1629",
            "fax_number": "301-383-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTOPIA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "SEDEGAH",
        "authorized_official_first_name": "NA'IMAH",
        "authorized_official_middle_name": "FAREEDAH",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-383-1629",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC, CRC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "4473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychiatric Rehabilitation Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Bowie, MD
• Providers in Bowie, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.