Asdo Behavioral Health

Primary specialty

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

Legal business name

ASDO BEHAVIORAL HEALTH

Practice address

3261 Old Washington Rd Ste 2020
Waldorf, MD 20602-3231

Phone

(301) 263-3786

Fax

(301) 263-3804

NPI assigned

Jul 27, 2020

Last updated

Feb 8, 2021By 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

Ijeoma Emeka, PMHNP-BC

Title

President

Phone

(240) 481-9223

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1548879505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 ERLAND WAY",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062480",
            "telephone_number": "301-263-3786",
            "fax_number": "301-263-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 OLD WASHINGTON RD STE 2020",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023231",
            "telephone_number": "301-263-3786",
            "fax_number": "301-263-3804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6208 Erland Way",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207062480",
            "country_code": "US",
            "telephone_number": "012-633-7863",
            "fax_number": "301-263-3804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASDO BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "EMEKA",
        "authorized_official_first_name": "IJEOMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-481-9223",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.