Mieljade Behavioral Health, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MIELJADE BEHAVIORAL HEALTH, LLC

Practice address

6340 Security Blvd Ste 100
Baltimore, MD 21207-5284

Phone

(774) 420-8760

Fax

(133) 921-0899

NPI assigned

Oct 23, 2023

Last updated

Apr 29, 2026By 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

Dr. Gifty Ampaw, PSYD, BCBA,LABA,LBANPI 1508221110

Title

Ceo

Phone

(774) 420-8760

Specialties & licenses 6

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.

• Gifty Ampaw, PSYD,BCBA,LABA,LBA

  • Behavior Analyst
  • Worcester, MA
  • NPI 1508221110
  NPD Authorized official

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1922880137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 UTICA DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031623",
            "telephone_number": "774-420-8760",
            "fax_number": "339-210-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212075284",
            "telephone_number": "774-420-8760",
            "fax_number": "133-921-0899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Utica Dr",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016031623",
            "country_code": "US",
            "telephone_number": "774-420-8760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIELJADE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "AMPAW",
        "authorized_official_first_name": "GIFTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "774-420-8760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, BCBA,LABA,LBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Middleton, M.D.
• Tiffani Marguerite Middleton, MD
• Marcus Allen Midgette, RMP
• Jean Midy
• Catherine Cunneen Hooper Miele, M.D.
• Mien - Door Kioune, MD
• Elizabeth Mienza
• Kelsie Marie Mietla, MD
• Leah Mietus, LMSW
• Bracha Mifsud, OTR

• Behavior Analyst in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.