Cervello-Wellness, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CERVELLO-WELLNESS, LLC

Practice address

6010 Executive Blvd Ste 700
North Bethesda, MD 20852-3885

Phone

(301) 392-7120

NPI assigned

Sep 1, 2025

Organization subpart

No

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

Authorized official

Name

Mimi TysonNPI 1952960924

Title

Ceo

Phone

(301) 392-7120

Specialties & licenses 1

Addresses

Tax ID family

Cervello-Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Cervello-Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockville, MD
  • NPI 1942004262
  NPD tax ID

Practitioners 1

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

• Mimi Tyson

  • Psychiatric/Mental Health Nurse Practitioner
  • North Bethesda, MD
  • NPI 1952960924
  NPD (past) Authorized official

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1619856887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 DIAMONDHEAD AVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211308",
            "telephone_number": "301-828-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 EXECUTIVE BLVD STE 700",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208523885",
            "telephone_number": "301-392-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERVELLO-WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-08-31",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "MIMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-392-7120"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capital Womens Care LLC
• Care Bethesda
• Suzana Esther Caro
• Christine Cernoch, CRNP
• Cervello-Wellness, LLC
• Chadha & Co Dental-Rockville, LLC
• Michelle Chaney, LCPC, CAC-AD
• Betty Chang
• Joy Yung-Chia Chen, M.D.
• Yoon J Cho, D.O.

• All providers in North Bethesda, MD
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.