MEM SCEPTER HOME & BEHAVIORAL NPI 1407462559

NPI Information

NPI: 1407462559
Provider Name: MEM SCEPTER HOME & BEHAVIORAL

Doing Business As: MEM SCEPTER HOME & BEHAVIORAL HEALTH CARE LLC

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
25484 POINT LOOKOUT RD STE 301A
LEONARDTOWN, MD
ZIP 20650
Phone: (240) 309-4111
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MEM SCEPTER HOME & BEHAVIORAL is a psychiatric/mental health nurse practitioner in Leonardtown, MD. MEM SCEPTER HOME & BEHAVIORAL NPI is 1407462559. The provider is registered as an organization entity type.
The provider Is Doing Business As Mem Scepter Home & Behavioral Health Care Llc.

The provider's business location address is:

25484 POINT LOOKOUT RD STE 301A
LEONARDTOWN, MD
ZIP 20650-842
Phone: (240) 309-4111
Fax: (240) 309-4095

The provider's authorized official is Modupe O Adenekan .
The authorized official title is President and has the following contact phone number (202) 449-0001.

The CLIA number assigned to this NPI record is 21D2212389 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2020 and was last updated on 6/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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