Fountain Behavioral Health Services Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FOUNTAIN BEHAVIORAL HEALTH SERVICES INC

Practice address

4415A Nicole Dr Ste a
Lanham, MD 20706-4352

Phone

(301) 541-4734

Fax

(240) 229-6962

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Nemata Kamara

Title

Executive Director

Phone

(301) 541-4734

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1942074141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415A NICOLE DR STE A",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064352",
            "telephone_number": "301-541-4734",
            "fax_number": "240-229-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415A NICOLE DR STE A",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064352",
            "telephone_number": "301-541-4734",
            "fax_number": "240-229-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN BEHAVIORAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "NEMATA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-541-4734"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice Fotachwi
• Christian Dobgima Fotachwi
• Mathias Fotachwi
• Paulette Valerie Fouedjio
• Negar Fouladi Nashta, MD
• Fountain of Life Healthcare PC.
• Rosine Fouodji
• Jan Dixon Foushee, MD
• Augustina O Fox
• Doreen Foy, PHARMD

• Community/Behavioral Health Agency in Lanham, MD
• Providers in Lanham, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.