Active NPI
Brookfield Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Frederick, MD
National Provider Identifier
1790491876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BROOKFIELD HEALTH SERVICES
- Practice address
- 120 W Church St Ste 2F
Frederick, MD 21701-7812 - Phone
- (301) 979-0905
- NPI assigned
- Jan 23, 2023
- Last updated
- Feb 28, 2024
- 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
- Evelyn Ogendi
- Title
- Provider
- Phone
- (301) 979-0905
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 | NU | Primary |
Addresses
Primary practice location
120 W Church St Ste 2F
Frederick, MD 21701-7812
Mailing address
604 Solarex CT Unit 205
Frederick, MD 21703-8655
Phone (240) 659-8119
National Provider Directory
National Provider DirectoryLocations
120 W Church St
Ste 2F
Frederick, MD 21701
Phone (301) 979-0905
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1215467089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709078400000",
"number": "1790491876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 SOLAREX CT UNIT 205",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217038655",
"telephone_number": "240-659-8119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W CHURCH ST STE 2F",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217017812",
"telephone_number": "301-979-0905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKFIELD HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-23",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A",
"authorized_official_last_name": "OGENDI",
"authorized_official_first_name": "EVELYN",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "301-979-0905"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
- Jason Gabriel Bromer, M.D.
- Brook Lane Behavioral Services, Inc.
- Brook Lane Behavioral Services, Inc.
- Brook Lane Behavioral Services, Inc.
- Brook Lane Behavioral Services, Inc.
- Barbara Ann Brookmyer, M.D.
- Brooks Behavioral Health Services, LLC
- David Charles Brooks, LCADC
- Sherene Lynnell Broome, CNM
- Laura Alissa Brosbe, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.