Organization Active NPI

Berachah, LLC

  • Developmental Disabilities Clinic/Center
  • Clinton, MD
National Provider Identifier
1659736288
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
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

Updated by the provider on Jun 7, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.