ABA Health Services Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Baltimore, MD
NPI 1720019672 · NPPES record last updated May 5, 2023
Key facts
- NPI
- 1720019672
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- ABA HEALTH SERVICES INC
- Practice address
- 3939 Reisterstown Rd Ste 150
Baltimore, MD 21215-7601 - Phone
- (410) 367-7821
- Fax
- (410) 367-7823
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Albert Njoku, DRPH
- Title
- Program Director
- Phone
- (410) 367-7821
Corporate family (same tax ID) 2
Practitioners 11
-
Sunsoon Eunsook Cho, LCPC
-
Ullal L Mallya, MD
-
Juliet Ugochi Nwokedi, PMHNP-BC
-
Syeda N Hafiz, M.D.
-
Myun-Ki Kim, MD
-
Mahmoud Malayeri, MD
-
Kathleen Lewis, PMHNP-BC
-
Paul Clifford Archibald, MA, LCSW-C
-
Ivis Theodore Forrester, PH.D., RD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041019000278 | MD | Part B Supplier - Clinic/Group Practice | 6204896764 |
Receives reassigned benefits from 9 practitioners Practice locations: Baltimore, MD |
National Provider Directory
- Tax ID family
- ABA Health Services Inc
Locations
3939 Reisterstown Rd
#105
Baltimore, MD 21215
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
3939 Reisterstown Rd Ste 150
Baltimore, MD 21215-7601
Mailing address
3123 Lakewood Manor Dr
Finksburg, MD 21048-1653
Phone (410) 367-7821
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400448500 | Medicaid | MD | |
| 400407800 | Medicaid | MD | |
| 643107 | Other | MD | VALUE OPTIONS |
Other providers in Baltimore, MD
- Alina H. Aasim
- Gilda Aazabache Neciosupe
- ABA Fichon Inc
- ABA Health Services Counseling
- ABA Health Services Inc
- ABA Journey MD LLC
- ABA Skill Builders MD LLC
- Peter M Abadir
- Victor Ifeanyi Abadom
- Naomi Abaga
All providers in Baltimore, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.