ANTHEM BEHAVIORAL HEALTH LLC NPI 1497570402

NPI Information

  • NPI: 1497570402
  • Provider Name: ANTHEM BEHAVIORAL HEALTH, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • :
  • Address: 201 INTERNATIONAL CIR STE 230
    COCKEYSVILLE, MD
    ZIP 21030
  • Phone: (443) 567-6091

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NPI Details

ANTHEM BEHAVIORAL HEALTH, LLC is a psychiatric/mental health nurse practitioner in Cockeysville, MD. ANTHEM BEHAVIORAL HEALTH, LLC NPI is 1497570402. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

201 INTERNATIONAL CIR STE 230
COCKEYSVILLE, MD
ZIP 21030-344
Phone: (443) 567-6091
Fax: (443) 567-6191

The provider's authorized official is Jennifer Petrik .
The authorized official title is Ceo and has the following contact phone number (443) 567-6091.

The enumeration date for this NPI number is 11/15/2024 and was last updated on 2/13/2025.

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
1101YM0800XCounselorMental HealthNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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