PRIME BEHAVIORAL HEALTH LLC
NPI 1164990818
Clinic/Center - Mental Health (Including Community Mental Health Center) in Laurel, MD
About Prime Behavioral Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME BEHAVIORAL HEALTH LLC (NPI 1164990818) is a healthcare organization registered as a mental health (including community mental health center) in Laurel, Maryland and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through June 17, 2027 and lists Julius Fomengia, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2167895
Prime Behavioral Health LLC · Laurel, MDOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAUREL, MD 20707
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 Prime Behavioral Health LLC's NPI number?
The NPI number for Prime Behavioral Health LLC is 1164990818. It was assigned to this organization in the NPPES registry on November 10, 2018.
Where is Prime Behavioral Health LLC located?
Prime Behavioral Health LLC is located at 13994 Baltimore Ave Ste 102, Laurel, MD 20707. The listed phone number is (240) 463-3357.
What is Prime Behavioral Health LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Does Prime Behavioral Health LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2167895) is associated with this NPI, valid through June 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Prime Behavioral Health LLC was last updated on November 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
