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.
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 |
Official Name | MRS. BOLAKUNMI YUSUF |
Official Title | MANAGER |
Telephone | 4434383457 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health |
Other Identifier | Issuing State | Issuer | Identifier Type |
---|---|---|---|
3016555086 | MD | MEDICAID |
Other Organization Name | Type |
---|---|
MMBR INC | Former Legal Business Name |
Endpoint Type | Endpoint | Affiliation Legal Business Name | Affiliation Address | Use Description |
---|---|---|---|---|
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Mmbr Behavioral Health Services Inc · Mmbr Inc | 3804 S.hanover St, Brooklyn, MD 21225 | Comprehensive Outpatient Rehabilitation Facility (CORF) | 2021-03-26 |
Mmbr Behavioral Health Services Inc | 3804 S. Hanover Street, Brooklym, MD 20774 | Substance Abuse Rehabilitation Facility | 2024-01-19 |
Mmbr Behavioral Health Services Inc | 3804 S.hanover St, Brooklyn, MD 21225-2122 | Community/Behavioral Health Agency | 2021-04-07 |
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] |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Hesther Elenwo | 2233 University Ave W Ste 201, Saint Paul, MN 55114-1629 | Adolescent and Children Mental Health Clinic/Center | 2024-04-03 |
Ck Clinical Services LLC | 1000 Franklin Village Dr Ste 201, Franklin, MA 02038-4015 | Adolescent and Children Mental Health Clinic/Center | 2024-03-05 |
Foundation for Scalable Innovations | 229 Terry St, Longmont, CO 80501-5930 | Adolescent and Children Mental Health Clinic/Center | 2024-04-01 |
Higher Heights Home Care | 2100 Cotton Cir Se, Wilson, NC 27893-6560 | Adolescent and Children Mental Health Clinic/Center | 2024-04-05 |
Global Star Therapy | 1875 Plaza Dr, Eagan, MN 55122-2613 | Adolescent and Children Mental Health Clinic/Center | 2024-03-18 |
Imprints Cares | 711 Coliseum Plaza Ct, Winston Salem, NC 27106-5350 | Adolescent and Children Mental Health Clinic/Center | 2024-03-08 |
Sounds of Tomorrow Academy | 155 Pierce St, Somerset, NJ 08873-4168 | Adolescent and Children Mental Health Clinic/Center | 2024-04-02 |
Ashlee Mitchell | 17325 Euclid Ave Ste 4104, East Cleveland, OH 44112-1262 | Adolescent and Children Mental Health Clinic/Center | 2024-03-08 |
Growing Minds Psychology LLC | 6272 Abbott Station Dr, Zephyrhills, FL 33542-4877 | Adolescent and Children Mental Health Clinic/Center | 2024-03-04 |
Lauren Wolfe LLC | 75 Glen Rd Ste G03, Sandy Hook, CT 06482-1197 | Adolescent and Children Mental Health Clinic/Center | 2024-03-11 |
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Street Address |
3804 S.HANOVER STREET |
City | BROOKLYN |
State | MD |
Zip Code | 20774 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Winifred Melinda Kargbo | Asten Behavioral Health, 9500 Medical Center Drive Ste 270, Largo, MD 20774 | Psychiatric/Mental Health Nurse Practitioner | 2023-02-20 |
Mmbr Behavioral Health Services Inc | 3804 S. Hanover Street, Brooklym, MD 20774 | Substance Abuse Rehabilitation Facility | 2024-01-19 |
Rasna Thandi | 901 Harry S. Truman Drive North, Largo, MD 20774 | Student in an Organized Health Care Education/Training Program | 2023-04-17 |
Myoung Woon Kim | 28 Watkins Drive, Upper Marlboro, MD 20774 | Pharmacist | 2021-10-07 |
Babafemi Adeleke Adeniyi | Um Capital Region Medical Center, Town Center, Largo, MD 20774 | Student in an Organized Health Care Education/Training Program | 2021-05-11 |
Alan L Kahn | 301 Largo Rd., Largo, MD 20774 | Professional Counselor | 2019-09-26 |
Trina Lynn Taylor | 9500 Medical Center Drive, Largo, MD 20774 | Clinical Social Worker | 2020-02-05 |
New Perspective Transcultural Therapeutic and Training Consultants, Ll | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | Community/Behavioral Health Agency | 2022-02-09 |
Dimensions Healthcare Associates | 9333 Healthcare Way, Ste A-3-B-400, Largo, MD 20774 | Obstetrics & Gynecology Physician | 2024-03-01 |
Jose Luis Hernandez Aparicio | 901 Harry S Truman Dr, Largo, MD 20774 | Student in an Organized Health Care Education/Training Program | 2024-04-03 |
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Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Martha Dominguez Licensed Mental Health Counselor Behavioral Health | 370 E 160th St, Bronx, NY 10451-4404 | Mental Health Counselor | 2015-10-06 |
University of Utah Pediatric Behavioral Health Services | 291 S 200 W, Farmington, UT 84025-2419 | Developmental - Behavioral Pediatrics Physician | 2016-06-14 |
East Central Missouri Behavioral Health Services, Inc. | 581 Commons Drive, Fulton, MO 65251 | Child & Adolescent Psychiatry Physician | 2018-09-26 |
Department of Behavioral Health and Developmental Disabilities | 1225 3rd Ave, Suite 102, Columbus, GA 31901-2596 | Community/Behavioral Health Agency | 2009-05-18 |
University of Utah Behavioral Health Services · Uni Outpatient Adult Professional Behavioral Health Svcs | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | Psychiatry Physician | 2016-10-07 |
Mmbr Behavioral Health Services Inc. | 3804 S Hanover St, Baltimore, MD 21225 | Mental 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 84119-1401 | Adult Mental Health Clinic/Center | 2016-03-22 |
University of Utah Pediatric Behavioral Health Services | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | Pediatrics Physician | 2017-04-11 |
Northeast Health Services, LLC · (dba): Attleboro Behavioral Health Center/Cape Behavioral Health Cente | 30 Taunton Green, Suite 5, Taunton, MA 02780-3243 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2006-07-01 |
Department of Behavioral Health and Developmental Disabilities | 3000 Schatulga Rd, Columbus, GA 31907-3117 | Adult Mental Health Clinic/Center | 2009-05-18 |
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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 |
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. |