NPIMap

Organization Active NPI

Covenant Psychiatric and Mental Health Services, LLC

  • Community/Behavioral Health Agency
  • Hyattsville, MD
National Provider Identifier
1548977952
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC
Practice address
3415 Hamilton St Ste 6
Hyattsville, MD 20782-3953
Phone
(301) 363-0707
Fax
(240) 714-4733
NPI assigned
Nov 4, 2022
Organization subpart
Yes
Parent organization
COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Folake AlobaNPI 1255753489
Title
CRNP-PMH - Director of Services
Phone
(301) 363-0707

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

3415 Hamilton St Ste 6
Hyattsville, MD 20782-3953

Mailing address

2607 Box Tree Dr
Upper Marlboro, MD 20774-9306

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@covenant-health.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Covenant Psychiatric and Mental Health Services6 organizations share this tax ID, including this one
Part of
Covenant Psychiatric and Mental Health Services

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1548977952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BOX TREE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 HAMILTON ST STE 6",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823953",
            "telephone_number": "301-363-0707",
            "fax_number": "240-714-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC",
        "enumeration_date": "2022-11-04",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "ALOBA",
        "authorized_official_first_name": "FOLAKE",
        "authorized_official_title_or_position": "CRNP-PMH - DIRECTOR OF SERVICES",
        "authorized_official_telephone_number": "301-363-0707"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@covenant-health.org",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3415 Hamilton St Ste 6",
            "city": "Hyattsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207823953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.