Organization Active NPI

Able Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Berwyn Heights, MD
National Provider Identifier
1912568098
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ABLE BEHAVIORAL HEALTH, LLC
Practice address
6215 Greenbelt Rd Ste GL3B
Berwyn Heights, MD 20740-2366
Phone
(301) 474-0149
Fax
(301) 474-0263
NPI assigned
Jun 27, 2019
Last updated
Jun 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Raymond O Akinlosotu, CRNP PMH
Title
Owner
Phone
(301) 474-0149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

6215 Greenbelt Rd Ste GL3B
Berwyn Heights, MD 20740-2366

Mailing address

6215 Greenbelt Rd Ste GL3B
Berwyn Heights, MD 20740-2366
Phone (301) 474-0149

National Provider Directory

National Provider Directory

Locations

6215 Greenbelt Rd
Ste GL3B
Berwyn Heights, MD 20740
Phone (301) 474-0149

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1912568098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 GREENBELT RD STE GL3B",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402366",
            "telephone_number": "301-474-0149",
            "fax_number": "301-474-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 GREENBELT RD STE GL3B",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402366",
            "telephone_number": "301-474-0149",
            "fax_number": "301-474-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "AKINLOSOTU",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-474-0149",
        "authorized_official_credential": "CRNP PMH"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.