Organization Active NPI

Royal Mental Health Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brandywine, MD
National Provider Identifier
1699546549
Registry record updated Jan 10, 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
ROYAL MENTAL HEALTH CLINIC LLC
Practice address
6305 Oglethorpe Mill Dr
Brandywine, MD 20613-5693
Phone
(202) 674-0888
Fax
(240) 823-0249
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Carlson NkemnkengNPI 1770848871
Title
Provider
Phone
(202) 674-0888

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

Addresses

Primary practice location

6305 Oglethorpe Mill Dr
Brandywine, MD 20613-5693

Mailing address

6305 Oglethorpe Mill Dr
Brandywine, MD 20613-5693
Phone (202) 674-0888

National Provider Directory

National Provider Directory

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": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1699546549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 OGLETHORPE MILL DR",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206135693",
            "telephone_number": "202-674-0888",
            "fax_number": "240-823-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 OGLETHORPE MILL DR",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206135693",
            "telephone_number": "202-674-0888",
            "fax_number": "240-823-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL MENTAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "NKEMNKENG",
        "authorized_official_first_name": "CARLSON",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "202-674-0888"
    },
    "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 Brandywine, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.