Active NPI
Health Plus Behavioral and Primary Care
- Rehabilitation Clinic/Center
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- HEALTH PLUS BEHAVIORAL AND PRIMARY CARE
- Practice address
- 115 Delaware Ave
Glen Burnie, MD 21061-3013 - Phone
- (443) 354-4477
- Fax
- (443) 354-4666
- NPI assigned
- Aug 22, 2024
- Organization subpart
- Yes
- Parent organization
- HEALTH PLUS BEHAVIORAL AND PRIMARY CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emmanuel Kamdem-Sango, PMHNP
- Title
- President
- Phone
- (443) 354-4477
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
115 Delaware Ave
Glen Burnie, MD 21061-3013
Mailing address
115 Delaware Ave
Glen Burnie, MD 21061-3013
Phone (443) 354-4477
National Provider Directory
National Provider Directory- Tax ID family
- Health Plus Behavioral and
- Part of
- Health Plus Behavioral and
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glen Burnie, MD
- NPI 1407689698
-
- Community/Behavioral Health Agency
- Glen Burnie, MD
- NPI 1578219515
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Behavioral Health Agency
- Glen Burnie, MD
- NPI 1578219515
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Washington, DC
- NPI 1770080483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724284800000",
"number": "1952134157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 DELAWARE AVE",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613013",
"telephone_number": "443-354-4477",
"fax_number": "443-354-4666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 DELAWARE AVE",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613013",
"telephone_number": "443-354-4477",
"fax_number": "443-354-4666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH PLUS BEHAVIORAL AND PRIMARY CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTH PLUS BEHAVIORAL AND PRIMARY CARE",
"enumeration_date": "2024-08-22",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A",
"authorized_official_last_name": "KAMDEM-SANGO",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "443-354-4477",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.