Organization Active NPI

Prudent Minds Behavioral Health

  • Community/Behavioral Health Agency
  • Laurel, MD
National Provider Identifier
1861192593
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PRUDENT MINDS BEHAVIORAL HEALTH
Practice address
15614 Mews CT
Laurel, MD 20707-3311
Phone
(301) 793-1775
NPI assigned
Mar 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Ms. Rabiatu BanguraNPI 1740903004
Title
Owner
Phone
(301) 793-1775

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

15614 Mews CT
Laurel, MD 20707-3311

Mailing address

15614 Mews CT
Laurel, MD 20707-3311
Phone (301) 793-1775

National Provider Directory

National Provider Directory

Locations

2212 E Monument St
Baltimore, MD 21205
Phone (301) 821-6089

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1861192593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15614 MEWS CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073311",
            "telephone_number": "301-793-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15614 MEWS CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073311",
            "telephone_number": "301-793-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT MINDS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "BANGURA",
        "authorized_official_first_name": "RABIATU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-793-1775",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.