A Blended Family Mental Health Services
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Parkville, MD
NPI 1952156150 · NPPES record last updated Jul 9, 2026
Key facts
- NPI
- 1952156150
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- A BLENDED FAMILY MENTAL HEALTH SERVICES
- Practice address
- 9506 Harford Rd
Parkville, MD 21234-3113 - Phone
- (443) 703-8345
- Fax
- (410) 305-6221
- NPI assigned
- Apr 22, 2024
- Organization subpart
- No
Authorized official
- Name
- Nicole S Queen, PMHNP-BC
- Title
- Provider
- Phone
- (443) 703-8345
Practitioners 1
-
Nicole Queen, PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240501003001 | MD | Part B Supplier - Clinic/Group Practice | 1850731381 |
Receives reassigned benefits from 1 practitioner Practice locations: Parkville, MD |
National Provider Directory
Locations
9506 Harford Rd
Parkville, MD 21234
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
9506 Harford Rd
Parkville, MD 21234-3113
Mailing address
8713 Harford Rd
Parkville, MD 21234-4650
Phone (443) 703-8345
Other names
- ABF Mental Health Services
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@abfmentalhealth.com | Direct |
Other providers in Parkville, MD
- A Blended Family Home Care, LLC
- A Matter of Psychology PLLC
- Eduardo Diego Abarca Rojas
- Kimberly Naa Yarboley Abbey
- Clara Abit
- Mikayla Abrams Griffin
All providers in Parkville, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.