Bisfol Mental Care Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BISFOL MENTAL CARE SERVICES

Practice address

7310 Ritchie Hwy PMB 1042
Glen Burnie, MD 21061

Phone

(410) 446-7479

NPI assigned

Oct 28, 2024

Last updated

Oct 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Idaat Timbo-JallohNPI 1841911500

Title

Nurse Practitioner

Phone

(410) 446-7479

Specialties & licenses 1

Addresses

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.

• Idaat Bisola Timbo-Jalloh

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1841911500
  NPD Authorized official

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1871315200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY STE 200 PMB 1042",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY PMB 1042",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-446-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISFOL MENTAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "TIMBO-JALLOH",
        "authorized_official_first_name": "IDAAT",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-446-7479"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Bierey, LCSW-C
• Bioserenity DT, Inc.
• Jennifer Lyn Birchenough, OTR, PA-C
• Karen Birx
• Jennifer K Bisegger, PT, MPT
• Katharine A Bisordi, MS, MGC, CGC
• Devin Blackwell
• Michael Blaj, MD
• Danyele Blake
• Karene Bland, ADT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

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

Verify at the official NPI Registry.