Organization Active NPI

Amayas Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1609570845
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AMAYAS BEHAVIORAL HEALTH
Practice address
3070 Crain Hwy Ste 101
Waldorf, MD 20601-2831
Phone
(240) 416-3733
NPI assigned
Mar 30, 2023
Last updated
Jan 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Gabriela Amaya, PMHNPNPI 1275064222
Title
Nurse Practitioner
Phone
(703) 220-9564

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3070 Crain Hwy Ste 101
Waldorf, MD 20601-2831

Mailing address

11683 Henley CT
Waldorf, MD 20602-4100
Phone (703) 220-9564

Other practice location 1

11683 Henley Ct
Waldorf, MD 20602-4100
Phone (703) 220-9564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230601000692 MD Part B Supplier - Clinic/Group Practice 1759748072 Receives reassigned benefits from 1 practitioner
Practice locations: Waldorf, MD

National Provider Directory

National Provider Directory

Locations

3261 Old Washington Rd
Ste 1030
Waldorf, MD 20602
Phone (301) 638-1007

Practitioners & affiliated clinicians

Practitioners 3

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": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1609570845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11683 HENLEY CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206024100",
            "telephone_number": "703-220-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 CRAIN HWY STE 101",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012831",
            "telephone_number": "240-416-3733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11683 Henley Ct",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206024100",
            "country_code": "US",
            "telephone_number": "703-220-9564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMAYAS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "AMAYA",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "703-220-9564",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.