Active NPI
Berachah, LLC
- Developmental Disabilities Clinic/Center
- Clinton, MD
National Provider Identifier
1659736288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- BERACHAH, LLC
- Practice address
- 7311 Serenade Cir
Clinton, MD 20735-5874 - Phone
- (301) 877-6882
- NPI assigned
- Dec 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Yosheda Willette Lightfoot
- Title
- Executive Director/Ceo
- Phone
- (301) 877-6882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
7311 Serenade Cir
Clinton, MD 20735-5874
Mailing address
7311 Serenade Cir
Clinton, MD 20735-5874
Phone (301) 877-6882
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686096000000",
"number": "1659736288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7311 SERENADE CIR",
"city": "CLINTON",
"state": "MD",
"postal_code": "207355874",
"telephone_number": "301-877-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7311 SERENADE CIR",
"city": "CLINTON",
"state": "MD",
"postal_code": "207355874",
"telephone_number": "301-877-6882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERACHAH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-26",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A",
"authorized_official_last_name": "LIGHTFOOT",
"authorized_official_first_name": "YOSHEDA",
"authorized_official_middle_name": "WILLETTE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
"authorized_official_telephone_number": "301-877-6882",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.