Mmbr Behavioral Health Services Inc · Adolescent and Children Mental Health Clinic/Center

3804 S.hanover Street, Brooklyn, MD 20774

Overview

Mmbr Behavioral Health Services Inc is a Adolescent and Children Mental Health Clinic/Center (organization) practicing in Brooklyn, Maryland. The National Provider Identifier (NPI) is #1457938359, which was assigned on March 26, 2021, and the registration record was last updated on March 26, 2021. The practitioner's main practice location is at 3804 S.hanover Street, Brooklyn, MD 20774; the contact telephone number is 4434383457. The primary taxonomy of Mmbr Behavioral Health Services Inc is Adolescent and Children Mental Health Clinic/Center (261QM0855X), with specialization in Adolescent and Children Mental Health. The authorized official for Mmbr Behavioral Health Services Inc is Mrs. Bolakunmi Yusuf (Manager).

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Provider Information

NPI 1457938359
Entity Type Organization
Organization Name MMBR BEHAVIORAL HEALTH SERVICES INC
Provider Name MMBR BEHAVIORAL HEALTH SERVICES INC
Practice Address 3804 S.hanover Street
Brooklyn
MD 20774
Practice Telephone 4434383457
Mailing Address 3804 S.hanover Street
Brooklyn
MD 20774
Mailing Telephone 4434383457
Certification Date 2021-03-04
Enumeration Date 2021-03-26
Last Update Date 2021-03-26
Is Organization Subpart N

Authorized Official Information

Official Name MRS. BOLAKUNMI YUSUF
Official Title MANAGER
Telephone 4434383457

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y261QM0855XClinic/CenterAdolescent and Children Mental Health

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
3016555086MDMEDICAID

Other Provider Names

Other Organization NameType
MMBR INCFormer Legal Business Name

Associated Endpoints

Endpoint TypeEndpointAffiliation Legal Business NameAffiliation AddressUse Description

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Mmbr Behavioral Health Services Inc · Mmbr Inc 3804 S.hanover St, Brooklyn, MD 21225Comprehensive Outpatient Rehabilitation Facility (CORF)2021-03-26
Mmbr Behavioral Health Services Inc 3804 S. Hanover Street, Brooklym, MD 20774Substance Abuse Rehabilitation Facility2024-01-19
Mmbr Behavioral Health Services Inc 3804 S.hanover St, Brooklyn, MD 21225-2122Community/Behavioral Health Agency2021-04-07

Taxonomy Information

Primary Taxonomy

Code 261QM0855X
Taxonomy Adolescent and Children Mental Health Clinic/Center
Classification Clinic/Center
Specialization Adolescent and Children Mental Health
Grouping Ambulatory Health Care Facilities
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Hesther Elenwo 2233 University Ave W Ste 201, Saint Paul, MN 55114-1629Adolescent and Children Mental Health Clinic/Center2024-04-03
Ck Clinical Services LLC 1000 Franklin Village Dr Ste 201, Franklin, MA 02038-4015Adolescent and Children Mental Health Clinic/Center2024-03-05
Foundation for Scalable Innovations 229 Terry St, Longmont, CO 80501-5930Adolescent and Children Mental Health Clinic/Center2024-04-01
Higher Heights Home Care 2100 Cotton Cir Se, Wilson, NC 27893-6560Adolescent and Children Mental Health Clinic/Center2024-04-05
Global Star Therapy 1875 Plaza Dr, Eagan, MN 55122-2613Adolescent and Children Mental Health Clinic/Center2024-03-18
Imprints Cares 711 Coliseum Plaza Ct, Winston Salem, NC 27106-5350Adolescent and Children Mental Health Clinic/Center2024-03-08
Sounds of Tomorrow Academy 155 Pierce St, Somerset, NJ 08873-4168Adolescent and Children Mental Health Clinic/Center2024-04-02
Ashlee Mitchell 17325 Euclid Ave Ste 4104, East Cleveland, OH 44112-1262Adolescent and Children Mental Health Clinic/Center2024-03-08
Growing Minds Psychology LLC 6272 Abbott Station Dr, Zephyrhills, FL 33542-4877Adolescent and Children Mental Health Clinic/Center2024-03-04
Lauren Wolfe LLC 75 Glen Rd Ste G03, Sandy Hook, CT 06482-1197Adolescent and Children Mental Health Clinic/Center2024-03-11
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Location Information

Street Address 3804 S.HANOVER STREET
City BROOKLYN
State MD
Zip Code 20774
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Winifred Melinda Kargbo Asten Behavioral Health, 9500 Medical Center Drive Ste 270, Largo, MD 20774Psychiatric/Mental Health Nurse Practitioner2023-02-20
Mmbr Behavioral Health Services Inc 3804 S. Hanover Street, Brooklym, MD 20774Substance Abuse Rehabilitation Facility2024-01-19
Rasna Thandi 901 Harry S. Truman Drive North, Largo, MD 20774Student in an Organized Health Care Education/Training Program2023-04-17
Myoung Woon Kim 28 Watkins Drive, Upper Marlboro, MD 20774Pharmacist2021-10-07
Babafemi Adeleke Adeniyi Um Capital Region Medical Center, Town Center, Largo, MD 20774Student in an Organized Health Care Education/Training Program2021-05-11
Alan L Kahn 301 Largo Rd., Largo, MD 20774Professional Counselor2019-09-26
Trina Lynn Taylor 9500 Medical Center Drive, Largo, MD 20774Clinical Social Worker2020-02-05
New Perspective Transcultural Therapeutic and Training Consultants, Ll 1400 Mercantile Lane, Suite 208, Largo, MD 20774Community/Behavioral Health Agency2022-02-09
Dimensions Healthcare Associates 9333 Healthcare Way, Ste A-3-B-400, Largo, MD 20774Obstetrics & Gynecology Physician2024-03-01
Jose Luis Hernandez Aparicio 901 Harry S Truman Dr, Largo, MD 20774Student in an Organized Health Care Education/Training Program2024-04-03
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Martha Dominguez Licensed Mental Health Counselor Behavioral Health 370 E 160th St, Bronx, NY 10451-4404Mental Health Counselor2015-10-06
University of Utah Pediatric Behavioral Health Services 291 S 200 W, Farmington, UT 84025-2419Developmental - Behavioral Pediatrics Physician2016-06-14
East Central Missouri Behavioral Health Services, Inc. 581 Commons Drive, Fulton, MO 65251Child & Adolescent Psychiatry Physician2018-09-26
Department of Behavioral Health and Developmental Disabilities 1225 3rd Ave, Suite 102, Columbus, GA 31901-2596Community/Behavioral Health Agency2009-05-18
University of Utah Behavioral Health Services · Uni Outpatient Adult Professional Behavioral Health Svcs 501 S Chipeta Way, Salt Lake City, UT 84108-1222Psychiatry Physician2016-10-07
Mmbr Behavioral Health Services Inc. 3804 S Hanover St, Baltimore, MD 21225Mental Health Clinic/Center (Including Community Mental Health Center)2021-04-07
University of Utah Pediatric Behavioral Health Services 1525 W 2100 S, Salt Lake City, UT 84119-1401Adult Mental Health Clinic/Center2016-03-22
University of Utah Pediatric Behavioral Health Services 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125Pediatrics Physician2017-04-11
Northeast Health Services, LLC · (dba): Attleboro Behavioral Health Center/Cape Behavioral Health Cente 30 Taunton Green, Suite 5, Taunton, MA 02780-3243Mental Health Clinic/Center (Including Community Mental Health Center)2006-07-01
Department of Behavioral Health and Developmental Disabilities 3000 Schatulga Rd, Columbus, GA 31907-3117Adult Mental Health Clinic/Center2009-05-18

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.