Organization Active NPI

Transformational Behavioral Health LLC

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Silver Spring, MD
National Provider Identifier
1649065574
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
Legal business name
TRANSFORMATIONAL BEHAVIORAL HEALTH LLC
Practice address
14301 Layhill Rd Ste 101
Silver Spring, MD 20906-1937
Phone
(301) 323-8520
Fax
(301) 576-7838
NPI assigned
Apr 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Henry Tama, CRNP-PMHNPI 1588150262
Title
LPN
Phone
(301) 323-8520

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
Child & Adolescent Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0807X Primary

Addresses

Primary practice location

14301 Layhill Rd Ste 101
Silver Spring, MD 20906-1937

Mailing address

14301 Layhill Rd Ste 101
Silver Spring, MD 20906-1937
Phone (301) 323-8520

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251030000839 DC Part B Supplier - Clinic/Group Practice 1254849516 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Locations

14301 Layhill Rd
Ste 101
Silver Spring, MD 20906
Phone (301) 323-8520

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": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1649065574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 LAYHILL RD STE 101",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061937",
            "telephone_number": "301-323-8520",
            "fax_number": "301-576-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 LAYHILL RD STE 101",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061937",
            "telephone_number": "301-323-8520",
            "fax_number": "301-576-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONAL BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "TAMA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "301-323-8520",
        "authorized_official_credential": "CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.