NPIMap

Organization Active NPI

KNK Mental Health Services LLC

  • Primary Care Clinic/Center
  • Laurel, MD
National Provider Identifier
1982348983
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KNK MENTAL HEALTH SERVICES LLC
Practice address
9814 Pheasant Run CT
Laurel, MD 20708-3192
Phone
(240) 855-6293
NPI assigned
Apr 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Martin NzefehNPI 1427317080
Title
Provider
Phone
(240) 855-6293

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9814 Pheasant Run CT
Laurel, MD 20708-3192

Mailing address

9814 Pheasant Run CT
Laurel, MD 20708-3192
Phone (240) 855-6293

National Provider Directory

National Provider Directory
Tax ID family
KNK Mental Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1982348983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9814 PHEASANT RUN CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083192",
            "telephone_number": "240-855-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9814 PHEASANT RUN CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083192",
            "telephone_number": "240-855-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNK MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "NZEFEH",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "240-855-6293"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 25, 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.