NPIMap

Organization Active NPI

Imind Health LLC

  • Community/Behavioral Health Agency
  • Camp Springs, MD
National Provider Identifier
1649730540
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IMIND HEALTH LLC
Practice address
4703 Old Soper Rd Ste R1
Camp Springs, MD 20746-4030
Phone
(240) 249-0989
NPI assigned
Mar 25, 2019
Last updated
Mar 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Khanh-Linh Flynn
Title
Owner
Phone
(240) 249-0989

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU
Geriatric Psychiatry Physician 2084P0805X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4703 Old Soper Rd Ste R1
Camp Springs, MD 20746-4030

Mailing address

4703 Old Soper Rd Ste R1
Camp Springs, MD 20746-4030
Phone (240) 249-0989

Other names 1

  • iMind Health LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Imind Health LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1649730540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 OLD SOPER RD STE R1",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464030",
            "telephone_number": "240-249-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 OLD SOPER RD STE R1",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464030",
            "telephone_number": "240-249-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMIND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "KHANH-LINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-249-0989"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iMind Health LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camp Springs, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.