NPIMap

Organization Active NPI

Equanimity Integrated Behavioral Health & Wellness LLC

  • Community/Behavioral Health Agency
  • Parkville, MD
National Provider Identifier
1982345997
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EQUANIMITY INTEGRATED BEHAVIORAL HEALTH & WELLNESS LLC
Practice address
7500 Harford Rd Ste 1
Parkville, MD 21234-6900
Phone
(443) 708-8139
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Reginald Eugene DegrafenreidNPI 1699149492
Title
Owner
Phone
(443) 708-8139

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7500 Harford Rd Ste 1
Parkville, MD 21234-6900

Mailing address

7500 Harford Rd Ste 1
Parkville, MD 21234-6900
Phone (443) 708-8139

National Provider Directory

National Provider Directory
Tax ID family
Equanimity Integrated Behavioral Health Wellness LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1982345997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HARFORD RD STE 1",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212346900",
            "telephone_number": "443-708-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HARFORD RD STE 1",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212346900",
            "telephone_number": "443-708-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUANIMITY INTEGRATED BEHAVIORAL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "DEGRAFENREID",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-708-8139"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.