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PLATINUM BEHAVIORAL HEALTH LLC
NPI 1083244354
Nurse Practitioner - Psychiatric/Mental Health in Annapolis, MD

Active since January 24, 2020
1125 WEST ST STE 235, ANNAPOLIS, MD 21401(240) 353-1018 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 26, 2020, Jan 24, 2020 (2 updates tracked since 2020).

About Platinum Behavioral Health Llc NPPES

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

PLATINUM BEHAVIORAL HEALTH LLC (NPI 1083244354) is a healthcare organization registered as a psychiatric/mental health in Annapolis, Maryland and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Washington and lists Malcolm Cook, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1083244354
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePLATINUM BEHAVIORAL HEALTH LLC
Location Address1125 WEST ST STE 235Annapolis, MD 21401-4198
Mailing Address2019 S Anvil LnTemple Hills, MD 20748-4286 · (240) 353-1018
Phone(240) 353-1018
Organization SubpartNo
Authorized OfficialMalcolm CookNurse Practitioner · (240) 353-1018
Enumeration DateJanuary 24, 2020
Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1083244354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedFamily MedicineTaxonomy 207Q00000X
1125 WEST ST STE 235, Annapolis, MD 21401
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Secondary Practice Location 1

Location 11647 Benning Rd NEWashington, DC 20002-4569 · Phone (240) 353-1018

Other Identifiers 1

Medicaid15880647208MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOCAL INTEGRATED HEALTHCARE
Family Medicine
1125 WEST ST STE 235
ANNAPOLIS, MD 21401
Anne Arundel County (443) 995-9751
FIVE-STAR INTEGRATED HEALTH SERVICES, LLC
Nurse Practitioner (Psychiatric/Mental Health)
1125 WEST ST STE 235
ANNAPOLIS, MD 21401
Anne Arundel County (667) 204-0614

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 Platinum Behavioral Health LLC's NPI number?

The NPI number for Platinum Behavioral Health LLC is 1083244354. It was assigned to this organization in the NPPES registry on January 24, 2020.

Where is Platinum Behavioral Health LLC located?

Platinum Behavioral Health LLC is located at 1125 West St Ste 235, Annapolis, MD 21401. The listed phone number is (240) 353-1018.

What is Platinum Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Platinum Behavioral Health LLC was last updated on October 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.