Phoenix Behavioral Health of Maryland Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PHOENIX BEHAVIORAL HEALTH OF MARYLAND INC

Practice address

9405 Liberty Rd Ste E
Randallstown, MD 21133-2712

Phone

(443) 848-6974

NPI assigned

Jun 9, 2025

Organization subpart

No

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

Authorized official

Name

Konu Bell

Title

Owner

Phone

(443) 848-6974

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1649164187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 AMBER OAKS WAY",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175042",
            "telephone_number": "443-848-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 LIBERTY RD STE E",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332712",
            "telephone_number": "443-848-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX BEHAVIORAL HEALTH OF MARYLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-08",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KONU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-848-6974"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya M. Pease, CRNA
• Karen Y Perkins, M.D.
• Asnah Perlman, M.ED., LCPC, NCC
• Carla Perry
• Trung H Pham, M.D.
• Phoenix Healthcare Systems
• Phoenix Healthcare Systems
• Deborah Pierson, LCSW/C
• Diana Pieterson
• Radhika Pilla, M.D

• Mental Health Clinic/Center (Including Community Mental Health Center) in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.