NPIMap

Organization Active NPI

Black Girl Health Foundation Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oxon Hill, MD
National Provider Identifier
1649925488
Registry record updated Apr 17, 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
BLACK GIRL HEALTH FOUNDATION INC
Practice address
5620 Barnabas Road, Suite 312
Oxon Hill, MD 20745-2074
Phone
(240) 299-6285
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Mrs. Porcha Ella Marnece Grigsby
Title
Chief Executive Officer
Phone
(240) 299-6285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5620 Barnabas Road, Suite 312
Oxon Hill, MD 20745-2074

Mailing address

9319 Clifford Dr
White Plains, MD 20695-2920
Phone (240) 299-6285

Other practice location 1

80 M St SE Ste 100
Washington, DC 20003-3550
Phone (240) 299-6285

Other practice location 2

911 Gibson Blvd
Steelton, PA 17113-1860
Phone (240) 299-6285

Other names 1

  • THE BGH CLINIC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address porcha@blackgirlhealthfoundation.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241115002986 DC Part B Supplier - Clinic/Group Practice 2264876291 Receives reassigned benefits from 6 practitioners
Practice locations: Oxon Hill, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Black Girl Health Foundation Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

5620 Saint Barnabas Rd
Ste 220
Oxon Hill, MD 20745
Phone (240) 299-6285

Practitioners & affiliated clinicians

Practitioners 7

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": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1649925488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9319 CLIFFORD DR",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206952920",
            "telephone_number": "240-299-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 BARNABAS ROAD, SUITE 312",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207452074",
            "telephone_number": "240-299-6285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 M St SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200033550",
            "country_code": "US",
            "telephone_number": "240-299-6285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 Gibson Blvd",
            "address_purpose": "LOCATION",
            "city": "Steelton",
            "state": "PA",
            "postal_code": "171131860",
            "country_code": "US",
            "telephone_number": "240-299-6285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLACK GIRL HEALTH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "GRIGSBY",
        "authorized_official_first_name": "PORCHA",
        "authorized_official_middle_name": "ELLA MARNECE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "240-299-6285",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "porcha@blackgirlhealthfoundation.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5620 Barnabas Road, suite 312",
            "city": "Oxon Hill",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207452074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "THE BGH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.