Organization Active NPI

Fube Enterprises, LLC

Doing business as Bonte Behavioral Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1952022238
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FUBE ENTERPRISES, LLC
Doing business as
Bonte Behavioral Health Services
Practice address
8210 Jeremiah LN
Columbia, MD 21044-4165
Phone
(443) 230-2285
Fax
(301) 368-6675
NPI assigned
Sep 6, 2022
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Mr. Ngufor Fube Divine, CRNP-PMH
Title
President
Phone
(443) 230-2285

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

8210 Jeremiah LN
Columbia, MD 21044-4165

Mailing address

8210 Jeremiah LN
Columbia, MD 21044-4165
Phone (443) 230-2285

Other names 1

  • Bonte Behavioral Health Services Doing business as

National Provider Directory

National Provider Directory

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": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1952022238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 JEREMIAH LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444165",
            "telephone_number": "443-230-2285",
            "fax_number": "301-368-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 JEREMIAH LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444165",
            "telephone_number": "443-230-2285",
            "fax_number": "301-368-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUBE ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "FUBE DIVINE",
        "authorized_official_first_name": "NGUFOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-230-2285",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonte Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bonte Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.