Infinity Mental Health

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

INFINITY MENTAL HEALTH

Practice address

9056 Fox Stream Way
Upper Marlboro, MD 20772-2556

Phone

(202) 843-7622

Fax

(240) 306-1219

NPI assigned

Dec 10, 2020

Last updated

Jan 28, 2022By 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

Angela White, LICSW, LCSW-CNPI 1790158814

Title

Founder

Phone

(301) 706-2374

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 6

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.

• Angela White

  • Clinical Social Worker
  • Washington, DC
  • NPI 1790158814
  Medicare reassignment NPD Authorized official
• Daezja Bray

  • Social Worker
  • Upper Marlboro, MD
  • NPI 1992670491
  NPD
• Derron Garvey, LMSW

  • Social Worker
  • Upper Marlboro, MD
  • NPI 1598494767
  NPD
• Saron Taye, LMSW

  • Clinical Social Worker
  • Upper Marlboro, MD
  • NPI 1306544499
  NPD
• Jordan Webster, LGSW

  • Social Worker
  • Upper Marlboro, MD
  • NPI 1407660830
  NPD
• Jewellia Zerega

  • Social Worker
  • Upper Marlboro, MD
  • NPI 1134091754
  NPD

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1932705209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9056 FOX STREAM WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722556",
            "telephone_number": "202-843-7622",
            "fax_number": "240-306-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9056 FOX STREAM WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722556",
            "telephone_number": "202-843-7622",
            "fax_number": "240-306-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "301-706-2374",
        "authorized_official_credential": "LICSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Adult Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.