NPIMap

Organization Active NPI

MMBR Behavioral Health Services Inc

  • Community/Behavioral Health Agency
  • Brooklyn, MD
National Provider Identifier
1972182871
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MMBR BEHAVIORAL HEALTH SERVICES INC
Practice address
3804 S.Hanover St
Brooklyn, MD 21225-2122
Phone
(301) 655-5086
NPI assigned
Apr 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Bolakunmi Yusuf
Title
Manager
Phone
(301) 655-5086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3804 S.Hanover St
Brooklyn, MD 21225-2122

Mailing address

3804 S.Hanover St
Brooklyn, MD 21225
Phone (301) 655-5086

Other names 2

  • MMBR BEHAVIORAL HEAL SERVICES INC Doing business as
  • MMBR INC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
MMBR Behavioral Health Services Inc5 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.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1972182871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 S.HANOVER ST",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "21225",
            "telephone_number": "301-655-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 S.HANOVER ST",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212252122",
            "telephone_number": "301-655-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMBR BEHAVIORAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "BOLAKUNMI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-655-5086"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMBR BEHAVIORAL HEAL SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MMBR INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brooklyn, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.