Organization Active NPI

Boni Medical & Psychiatric Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burtonsville, MD
National Provider Identifier
1639922560
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BONI MEDICAL & PSYCHIATRIC SERVICES LLC
Practice address
4030 Blackburn LN
Burtonsville, MD 20866-1168
Phone
(240) 722-6733
NPI assigned
Apr 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Hannah Ngale
Title
President
Phone
(301) 512-0726

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

4030 Blackburn LN
Burtonsville, MD 20866-1168

Mailing address

4030 Blackburn LN
Burtonsville, MD 20866-1168
Phone (240) 722-6733

National Provider Directory

National Provider Directory

Locations

4030 Blackburn Ln
Burtonsville, MD 20866
Phone (240) 722-6733

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1639922560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 BLACKBURN LN",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661168",
            "telephone_number": "240-722-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 BLACKBURN LN",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661168",
            "telephone_number": "240-722-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONI MEDICAL & PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "NGALE",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-512-0726"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

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