Organization Active NPI

Mercymary Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lanham, MD
National Provider Identifier
1891410569
Registry record updated Oct 5, 2022
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
MERCYMARY BEHAVIORAL HEALTH LLC
Practice address
9801 Greenbelt Rd
Lanham, MD 20706-2273
Phone
(443) 559-1875
NPI assigned
Oct 5, 2022
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Stella AgunenyeNPI 1417523432
Title
Provider
Phone
(443) 559-1875

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

9801 Greenbelt Rd
Lanham, MD 20706-2273

Mailing address

9801 Greenbelt Rd
Lanham, MD 20706-2273
Phone (443) 559-1875

National Provider Directory

National Provider Directory

Locations

9801 Greenbelt Rd
Lanham, MD 20706
Phone (443) 559-1875

9801 Greenbelt Rd
Ste 106
Lanham, MD 20706
Phone (443) 559-1875

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1891410569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 GREENBELT RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062273",
            "telephone_number": "443-559-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 GREENBELT RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062273",
            "telephone_number": "443-559-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCYMARY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "AGUNENYE",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "443-559-1875"
    },
    "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": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.