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BONITA HEALTH CLINIC NPI 1740822915


NPI Information

NPI: 1740822915
Provider Name: BONITA HEALTH CLINIC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
6124 LANDOVER RD
CHEVERLY, MD
ZIP 20785
Phone: (215) 500-7580
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BONITA HEALTH CLINIC is a mental health (including community mental health center) clinic center in Cheverly, MD. BONITA HEALTH CLINIC NPI is 1740822915. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6124 LANDOVER RD
CHEVERLY, MD
ZIP 20785-016
Phone: (215) 500-7580

The provider's authorized official is Rajaee Black .
The authorized official title is President and has the following contact phone number (215) 500-7580.

The enumeration date for this NPI number is 10/9/2019 and was last updated on 10/9/2019.


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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.