NPIMap

Organization Active NPI

Comprehensive Health and Behavioral Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Largo, MD
National Provider Identifier
1952179681
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COMPREHENSIVE HEALTH AND BEHAVIORAL SERVICES LLC
Practice address
1401 Mercantile LN Ste 531
Largo, MD 20774-4301
Phone
(410) 304-6656
NPI assigned
Dec 12, 2023
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Renata Bebongnchu Nkeze, PMHNPNPI 1689925497
Title
President
Phone
(240) 501-2710

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1401 Mercantile LN Ste 531
Largo, MD 20774-4301

Mailing address

1401 Mercantile LN Ste 531
Largo, MD 20774-4301
Phone (410) 304-6656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250403002617 DC Part B Supplier - Clinic/Group Practice 9638693377 Receives reassigned benefits from 2 practitioners
Practice locations: Upper Marlboro, MD

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Health and Behavioral Services LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1401 Mercantile Ln
Ste 531
Upper Marlboro, MD 20774
Phone (410) 304-6656

Practitioners & affiliated clinicians

Practitioners 2

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": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1952179681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MERCANTILE LN STE 531",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744301",
            "telephone_number": "410-304-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MERCANTILE LN STE 531",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744301",
            "telephone_number": "410-304-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HEALTH AND BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "NKEZE",
        "authorized_official_first_name": "RENATA",
        "authorized_official_middle_name": "BEBONGNCHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-501-2710",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.