BEHAVIORAL HEALTH AND THERAPY CLINIC (NPI# 1265040653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265040653 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTH AND THERAPY CLINIC |
| Other Organization Name | BEHAVIORAL HEALTH AND THERAPY CLINIC |
| Practice Address |
12501 Prosperity Dr Ste 330 Silver Spring MD 20904-1655 |
| Practice Telephone | 2408995315 |
| Practice Fax Number | 2406454013 |
| Mailing Telephone | 2408995315 |
| Mailing Fax Number | 2406454013 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | MR. AMAOBI HARDY AGBOR (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3016932207 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Behavioral Health & Therapy Clinic | Doing Business As Name - Organization |
| Behavioral Health and Therapy Clinic | Doing Business As Name - Organization |
| Street Address |
12501 PROSPERITY DR STE 330 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20904-1655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053758235 | Elite Multi Specialty Clinic, LLC | Clinic/Center | 12501 Prosperity Dr Ste 330, Silver Spring, MD 20904-1655 | 2013-05-29 |
| 1699386789 | Elite Multi Specialty Clinic, LLC | Clinic/Center | 12501 Prosperity Dr Ste 330, Silver Spring, MD 20904-1655 | 2020-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1215595996 | Educational Speech Services Prattle On | Speech-Language Pathologist | 2804 Mozart Drive, Silver Spring, MD 20904 | 2019-05-29 |
| 1184288201 | Danielle Fitzpatrick Tarbrake | Speech-Language Pathologist | Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 | 2019-04-24 |
| 1912483181 | Florence M Edorh-damlin | Home Health Aide | 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 | 2018-07-11 |
| 1922594357 | Melanie Bennett | Occupational Therapist | 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 | 2018-07-09 |
| 1578056602 | Chioma Theresa Nwaneri | Home Health Aide | 1516 November Cir Apt 201, Silver Spring, MD 20904 | 2018-06-13 |
| 1598287989 | Wandji Ngatchou | Home Health Aide | 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 | 2017-07-07 |
| 1871025239 | Rose Abanda | Home Health Aide | 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 | 2017-04-03 |
| 1962955930 | Bentilda Healthcare Services | Nursing Care | 13526 Collingwood Ter, Silver Spring, MD 20904 | 2016-07-26 |
| Find all providers in zip 20904 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033731468 | Nelley Acheampong-buadu | Nurse Practitioner | 2607 Camelback Ln Apt 4, Silver Spring, MD 20906-5797 | 2020-05-07 |
| 1811497498 | Irine Onyah | Nurse Practitioner | 14019 Castle Blvd Apt 403, Silver Spring, MD 20904-4790 | 2018-02-20 |
| 1861738510 | Leilanie Marie Rayala Ayala | Nurse Practitioner | 1745 Staley Manor Dr, Silver Spring, MD 20904-1563 | 2012-12-28 |
| 1811250905 | Angel Vivian Mbome | Nurse Practitioner | 801 Wayne Ave Ste G100, Silver Spring, MD 20910-4493 | 2012-06-22 |
| 1780828061 | Teresa D Combs | Nurse Practitioner | 8777 1st Ave # A, Silver Spring, MD 20910 | 2009-04-30 |
| 1861022907 | Adenike Akonedo | Nurse Practitioner | 3915 Ferrara Dr, Silver Spring, MD 20906-4709 | 2020-01-16 |
| 1316432172 | Christopher J Goisse | Nurse Practitioner | 801 Wayne Ave Ste G100, Silver Spring, MD 20910-4493 | 2018-06-25 |
| 1538559778 | Latoya Victor | Nurse Practitioner | 8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808 | 2015-01-26 |
| 1306117692 | Erica Ingram | Nurse Practitioner | 11120 New Hampshire Ave, Suite # 204, Silver Spring, MD 20904 | 2012-01-19 |
| 1891015103 | Mekeshia D Bates | Nurse Practitioner | 11120 New Hampshire Ave, Suite # 204, Silver Spring, MD 20904-2633 | 2010-06-09 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20904 |
Please comment or provide details below to improve the information on BEHAVIORAL HEALTH AND THERAPY CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.