NPIMap

Organization Active NPI

BK Behavioral Health Center

  • Rehabilitation Psychologist
  • Laurel, MD
National Provider Identifier
1972094167
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
Legal business name
BK BEHAVIORAL HEALTH CENTER
Practice address
14300 Cherry Lane CT # 202-203
Laurel, MD 20707-4958
Phone
(240) 360-2637
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Bernadette S Kamara
Title
President/Ceo
Phone
(301) 346-4687

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X Primary

Addresses

Primary practice location

14300 Cherry Lane CT # 202-203
Laurel, MD 20707-4958

Mailing address

14300 Cherry Lane CT # 202-203
Laurel, MD 20707-4958

Other identifiers 1

IdentifierTypeStateIssuer
267002000MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
BK Behavioral Health Center16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

14300 Cherry Lane Ct
#202203
Laurel, MD 20707
Phone (240) 360-2637

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1972094167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 CHERRY LANE CT # 202-203",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 CHERRY LANE CT # 202-203",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074958",
            "telephone_number": "240-360-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BK BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "301-346-4687"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267002000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.