Community Behavioral Health LLC
Organization Active NPI Community/Behavioral Health Agency · Centreville, MD
NPI 1821487158 · NPPES record last updated Oct 19, 2020
Key facts
- NPI
- 1821487158
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- D0037205 (MD)
- Legal business name
- COMMUNITY BEHAVIORAL HEALTH LLC
- Practice address
- 202 Coursevall Dr Ste 107
Centreville, MD 21617-1835 - Phone
- (844) 224-5264
- Fax
- (888) 509-0010
- NPI assigned
- Jan 9, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Niranjan N Jani, M.D.
- Title
- Chief Administrator
- Phone
- (443) 944-9605
Corporate family (same tax ID) 23
National Provider Directory
- Tax ID family
- Comm Behav HLTH LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | D0037205 | MD | Yes |
Addresses
Primary practice location
202 Coursevall Dr Ste 107
Centreville, MD 21617-1835
Mailing address
106 Lee St
Salisbury, MD 21804-5938
Phone (443) 944-9605
Other practice location 1
142 Coursevall Dr
Centreville, MD 21617-1824
Phone (844) 224-5264 ext. 14
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4226127 02 | Medicaid | MD |
Other providers in Centreville, MD
- Eric F Ciganek
- Joseph Anthony Ciotola Jr.
- Cohen Practice Enterprise P.C.
- Community Behavioral Health LLC
- Community Behavioral Health LLC
- Community Behavioral Health, LLC
- Community Behavioral Health, LLC
- Compass Regional Hospice, Inc
- Compass Regional Hospice, Inc
- Complete Care at Corsica Hills LLC
All providers in Centreville, MD · Community/Behavioral Health Agency in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.