BK BEHAVIORAL HEALTH CENTER (NPI# 1972094167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972094167 |
| Entity Type | Organization |
| Organization Name | BK BEHAVIORAL HEALTH CENTER |
| Practice Address |
14300 Cherry Lane Ct # 202-203 Laurel MD 20707-4958 |
| Practice Telephone | 2403602637 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | BERNADETTE S KAMARA (PRESIDENT/CEO) |
| Authorized Official Telephone | 3013464687 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 267002000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1194214999 | Bk Behavioral Health Center | Early Intervention Provider Agency | 1805 Pennsylvania Ave., Suite 102, Baltimore, MD 21217-4958 | 2018-05-07 |
| 1083109201 | Bk Behavioral Health Center | Marriage & Family Therapist | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707-4958 | 2018-06-29 |
| 1700377090 | Bk Behavioral Health Center | Clinic/Center | 1805 Pennsylvania Ave., Suite 102, Baltimore, MD 21217-2121 | 2018-05-23 |
| 1295225761 | Bk Behavioral Health Center | Counselor | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707-4958 | 2018-05-10 |
| 1770072365 | Bk Behavioral Health Center | Social Worker | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707-4958 | 2018-05-09 |
| 1073002762 | Bk Behavioral Health Center | Psychologist | 1805 Pennsylvania Ave., Suite 102, Baltimore, MD 21217-4958 | 2018-05-08 |
| 1912496654 | Bk Behavioral Health Center | Substance Abuse Rehabilitation Facility | 1805 Pennsylvania Ave., Suite 102, Baltimore, MD 21217-4958 | 2018-05-08 |
| Street Address |
14300 CHERRY LANE CT # 202-203 |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-4958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111306 | Md Counseling Services LLC | Psychologist | 924 E Baltimore St Ste 203924, Baltimore, MD 21202-4736 | 2019-12-12 |
| 1790329530 | Kenah One Health Care Services, LLC | Psychologist | 308 Crain Hwy N, Glen Burnie, MD 21061-3090 | 2019-11-05 |
| 1376196659 | Md Counseling Services LLC | Psychologist | 924 E Baltimore St Ste 204-206, Baltimore, MD 21202-4736 | 2019-07-16 |
| 1063980464 | Mercy Mental Healthcare Services, Inc | Psychologist | 20 S Hilton St, Baltimore, MD 21229-3724 | 2018-11-05 |
| 1669957544 | Tracey Andrea Royster-bennett | Psychologist | 3455 Wilkens Ave Ste 203, Baltimore, MD 21229-5265 | 2018-09-26 |
| 1376038976 | Gia Monique Winfield | Psychologist | 2118 N Charles St Apt 2, Baltimore, MD 21218-5797 | 2018-06-26 |
| 1992203145 | American Psychiatric Group Pa | Psychologist | 10632 Little Patuxent Pkwy Ste 104, Columbia, MD 21044-6217 | 2018-01-23 |
| 1841705407 | Conduit Inc | Psychologist | 3901 Park Heights Ave, Baltimore, MD 21215-7013 | 2017-12-05 |
| 1831562040 | Christopher Lloyd Matih Sr. | Psychologist | Community Bridge Builders of Maryland LLC, 5900 York Road, Suite 206, Baltimore, MD 21212-3041 | 2015-11-10 |
| 1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
| Find all providers with the same taxonomy | ||||
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| 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.