Behavioral Health Affiliates LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BEHAVIORAL HEALTH AFFILIATES LLC

Practice address

2670 Crain Hwy Ste 510
Waldorf, MD 20601-2819

Phone

(301) 374-8772

Fax

(301) 374-8774

NPI assigned

Sep 30, 2021

Last updated

Sep 30, 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

Ebony Cross, CRNP-PMHNPI 1508303801

Title

Owner

Phone

(919) 408-4627

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Ebony Joi Cross, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
  • NPI 1508303801
  NPD Authorized official

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1619649415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 TURLEYGREEN PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748984",
            "telephone_number": "919-408-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY STE 510",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012819",
            "telephone_number": "301-374-8772",
            "fax_number": "301-374-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH AFFILIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-408-4627",
        "authorized_official_credential": "CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bearjar
• James William Beauchamp, D.C.
• Jeanne Camille Beauchamp, ARNP
• Jordan Bebber, PA-C
• Shale Beharie
• Kristen Marie Belger, DMD
• Ebony Belt
• Belvonae Health & Wellness LLC (MEtime Psychiatry & Co.)
• Camille Benedict, LCSW-C
• Melanie Benjamin, PHARMD.

• Psychiatric/Mental Health Nurse Practitioner in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.