Comy Fidelity LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

COMY FIDELITY LLC

Practice address

5713 Nottingham PL
Adamstown, MD 21710-9474

Phone

(301) 326-6249

NPI assigned

Aug 19, 2025

Last updated

Aug 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Comfort Mfoatow Banyupe

Title

Administrator

Phone

(301) 326-6249

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1770460859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 NOTTINGHAM PL",
            "city": "ADAMSTOWN",
            "state": "MD",
            "postal_code": "217109474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5713 NOTTINGHAM PL",
            "city": "ADAMSTOWN",
            "state": "MD",
            "postal_code": "217109474",
            "telephone_number": "301-326-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMY FIDELITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "MFOATOW BANYUPE",
        "authorized_official_first_name": "COMFORT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-326-6249"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Renee Barr
• Pamela Bravo, LCSW-C
• Christina Brockett, MS, CNS, LDN
• Holly Burkot, CRNP
• Kristin Centeno
• Brenda Crist, LCPC, LPC
• Jodi Depasquale
• Kirk Druey, MD
• Jacqueline Ellis, LCSW-C
• Erpasa Corrales Vision Center, Inc. (Eye See You Optical)

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Adamstown, MD
• Providers in Adamstown, MD by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.