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INSTITUTE FOR BEHAVIORAL CHANGE, INC.
NPI 1124298484
Psychologist - Clinical Child & Adolescent in Waldorf, MD

Active since March 03, 2008
2670 CRAIN HWY STE 205, WALDORF, MD 20601(301) 818-0092(301) 818-0110 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Institute For Behavioral Change, Inc. NPPES

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

INSTITUTE FOR BEHAVIORAL CHANGE, INC. (NPI 1124298484) is a healthcare organization registered as a clinical child & adolescent in Waldorf, Maryland and active in the NPI registry since March 2008. The organization lists Howard Mabry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124298484
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameINSTITUTE FOR BEHAVIORAL CHANGE, INC.
Location Address2670 CRAIN HWY STE 205Waldorf, MD 20601-2816
Mailing Address2670 Crain Hwy Ste 205Waldorf, MD 20601-2816 · (301) 818-0092 · Fax (301) 818-0110
Phone(301) 818-0092
Fax(301) 818-0110
Organization SubpartNo
Authorized OfficialHoward MabryCeo · (301) 818-0110
Enumeration DateMarch 3, 2008
Last NPPES UpdateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1124298484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in DC · 1652
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 103000A-DT-Y-068 (DC)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LC301420 (DC)
2670 CRAIN HWY STE 205, Waldorf, MD 20601
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Institute For Behavioral Change, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Institute For Behavioral Change, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Howard Mabry, PH D PSYCHOLOGIST
Clinical Psychologist
NPI 1407328446
2218 RHODE ISLAND AVENUE
Washington, DC 20018
(202) 526-3880
✔ PECOS21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Institute For Behavioral Change, Inc.'s NPI number?

The NPI number for Institute For Behavioral Change, Inc. is 1124298484. It was assigned to this organization in the NPPES registry on March 3, 2008.

Where is Institute For Behavioral Change, Inc. located?

Institute For Behavioral Change, Inc. is located at 2670 Crain Hwy Ste 205, Waldorf, MD 20601. The listed phone number is (301) 818-0092.

What is Institute For Behavioral Change, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Institute For Behavioral Change, Inc. enrolled in Medicare?

Yes. Institute For Behavioral Change, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Institute For Behavioral Change, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Institute For Behavioral Change, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Institute For Behavioral Change, Inc. was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.