MENTOR-MARYLAND
NPI 1023544285
Community/Behavioral Health in Lanham, MD

Q: What is Mentor-Maryland's NPI number?

The NPI number for Mentor-Maryland is 1023544285. It was assigned to this organization in the NPPES registry on May 10, 2017.

Q: What is Mentor-Maryland's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Mentor-Maryland was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 10, 2017

4200 FORBES BOULEVARD, SUITE 100, LANHAM, MD 20706(301) 459-3057 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mentor-maryland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENTOR-MARYLAND (NPI 1023544285) is a healthcare organization registered as a community/behavioral health in Lanham, Maryland and active in the NPI registry since May 2017. The organization lists Carol Ivy Simmons, Director Omhc, as its authorized official.

NPPES Registry Identity

NPI1023544285

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameMENTOR-MARYLAND

Location Address4200 FORBES BOULEVARD, SUITE 100Lanham, MD 20706

Mailing Address5720 Executive DriveCatonsville, MD 21228 · (410) 455-4600 · Fax (410) 455-4659

Phone(301) 459-3057

Organization SubpartNo

Authorized OfficialCarol Ivy SimmonsDirector Omhc · (410) 455-4600

Enumeration DateMay 10, 2017

✔ NPI 1023544285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in MD · MH-2278

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

4200 FORBES BOULEVARD, Lanham, MD 20706

Open in Google Maps ↗

Other Identifiers 1

Medicaid056668MD

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mentor-Maryland's NPI number?

The NPI number for Mentor-Maryland is 1023544285. It was assigned to this organization in the NPPES registry on May 10, 2017.

Where is Mentor-Maryland located?

Mentor-Maryland is located at 4200 Forbes Boulevard Suite 100, Lanham, MD 20706. The listed phone number is (301) 459-3057.

What is Mentor-Maryland's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Mentor-Maryland was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.