NPIMap

Organization Active NPI

MD Behavioral Health LLC

  • Internal Medicine Physician
  • Takoma Park, MD
National Provider Identifier
1740059005
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MD BEHAVIORAL HEALTH LLC
Practice address
7610 Carroll Ave Ste 360
Takoma Park, MD 20912-6323
Phone
(301) 249-8100
Fax
(301) 390-8086
NPI assigned
Dec 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Ayokunle Oluleye
Title
Manger
Phone
(443) 756-5092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7610 Carroll Ave Ste 360
Takoma Park, MD 20912-6323

Mailing address

4000 Mitchellville Rd Ste A414
Bowie, MD 20716-3142
Phone (301) 249-8100

National Provider Directory

National Provider Directory
Tax ID family
MD Behavioral Health LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1740059005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE A414",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163142",
            "telephone_number": "301-249-8100",
            "fax_number": "301-390-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 360",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126323",
            "telephone_number": "301-249-8100",
            "fax_number": "301-390-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "OLULEYE",
        "authorized_official_first_name": "AYOKUNLE",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "443-756-5092"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.