NPIMap

Organization Active NPI

Vintage Behavioral Healthcare Center LLC

  • Adult Mental Health Clinic/Center
  • Beltsville, MD
National Provider Identifier
1831015726
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
VINTAGE BEHAVIORAL HEALTHCARE CENTER LLC
Practice address
4041 Powder Mill Rd Ste 322B
Beltsville, MD 20705-3106
Phone
(240) 388-9096
NPI assigned
Jun 25, 2026
Last updated
Jun 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Elijah Jones, OWNER
Title
Owner
Phone
(202) 843-3537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4041 Powder Mill Rd Ste 322B
Beltsville, MD 20705-3106

Mailing address

10310 Swift Stream PL Apt 109
Columbia, MD 21044-4881

National Provider Directory

National Provider Directory
Tax ID family
Vintage Behavioral Healthcare Center LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1782345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1831015726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 SWIFT STREAM PL APT 109",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 POWDER MILL RD STE 322B",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053106",
            "telephone_number": "240-388-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE BEHAVIORAL HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-843-3537",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.