NPIMap

Organization Active NPI

Imind Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Camp Springs, MD
National Provider Identifier
1801357520
Registry record updated Mar 26, 2019
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
IMIND HEALTH LLC
Practice address
4703 Old Soper Rd Ste R1
Camp Springs, MD 20746-4030
Phone
(240) 249-0989
Fax
(240) 256-8887
NPI assigned
Mar 26, 2019
Last updated
Mar 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Khanh-Linh Flynn
Title
Owner
Phone
(240) 249-0989

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

4703 Old Soper Rd Ste R1
Camp Springs, MD 20746-4030

Mailing address

4703 Old Soper Rd Ste R1
Camp Springs, MD 20746-4030
Phone (240) 249-0989

National Provider Directory

National Provider Directory
Tax ID family
Imind Health LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1801357520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 OLD SOPER RD STE R1",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464030",
            "telephone_number": "240-249-0989",
            "fax_number": "240-256-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 OLD SOPER RD STE R1",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464030",
            "telephone_number": "240-249-0989",
            "fax_number": "240-256-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMIND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "KHANH-LINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-249-0989"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Springs, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.