Active NPI
Meridian Health and Behavioral Services LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Riverdale, MD
National Provider Identifier
1659936847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MERIDIAN HEALTH AND BEHAVIORAL SERVICES LLC
- Practice address
- 6801 Kenilworth Ave Ste 300-S2
Riverdale, MD 20737-1331 - Phone
- (240) 687-2892
- NPI assigned
- May 3, 2019
- 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
- Eva K Ogbuokiri, NP
- Title
- Provider
- Phone
- (406) 872-5902
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
6801 Kenilworth Ave Ste 300-S2
Riverdale, MD 20737-1331
Mailing address
6801 Kenilworth Ave Ste 300-S2
Riverdale, MD 20737-1331
Phone (240) 687-2892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Meridian Health and Behavioral Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Riverdale, MD
- NPI 1073264784
Practitioners & affiliated clinicians
Practitioners 1
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": "1556841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642032000000",
"number": "1659936847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 KENILWORTH AVE STE 300-S2",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371331",
"telephone_number": "240-687-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 KENILWORTH AVE STE 300-S2",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371331",
"telephone_number": "240-687-2892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN HEALTH AND BEHAVIORAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-03",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A",
"authorized_official_last_name": "OGBUOKIRI",
"authorized_official_first_name": "EVA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "406-872-5902",
"authorized_official_credential": "NP"
},
"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": []
}
Other providers in Riverdale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.