Active NPI
Rhema Mental Health Care Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Bowie, MD
National Provider Identifier
1972300663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- RHEMA MENTAL HEALTH CARE SERVICES LLC
- Practice address
- 13200 14TH St
Bowie, MD 20715-4555 - Phone
- (202) 780-6803
- NPI assigned
- Feb 28, 2025
- Last updated
- Apr 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sam Khan
- Title
- Credentialing Manager
- Phone
- (786) 788-5080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
13200 14TH St
Bowie, MD 20715-4555
Mailing address
13200 14TH St
Bowie, MD 20715-4555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1740700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745366400000",
"number": "1972300663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13200 14TH ST",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13200 14TH ST",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154555",
"telephone_number": "202-780-6803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RHEMA MENTAL HEALTH CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-28",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "786-788-5080"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.