TARGET BEHAVIORAL HEALTH SERVICES, LLC
NPI 1235749771
Nurse Practitioner - Psychiatric/Mental Health in Bel Air, MD

NPI Status: Active since August 07, 2020

Contact Information

15 E CHURCHVILLE RD STE 106
BEL AIR, MD
ZIP 21014
Phone: (410) 888-7143
Fax: (410) 888-7145

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About TARGET BEHAVIORAL HEALTH SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Target Behavioral Health Services, Llc, a provider established in Bel Air, Maryland operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1235749771 assigned on August 2020. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Dr. Folashade Kanimodo Crnp (Ceo)

NPI
1235749771
Provider Legal Name
TARGET BEHAVIORAL HEALTH SERVICES, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
15 E CHURCHVILLE RD STE 106 BEL AIR, MD 21014
Location Phone
(410) 888-7143
Location Fax
(410) 888-7145
Mailing Address
1415 MOONSHADOW RD BEL AIR, MD 21015
Mailing Phone
(410) 900-8897
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-07-2020
Last Update Date
07-09-2025
Code Navigator

A nurse practitioner (NP) like Target Behavioral Health Services, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 1415 Moonshadow Rd
    Bel Air, MD 21015
    (410) 900-8897

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. FOLASHADE KANIMODO CRNP

Authorized Official Title
CEO
Authorized Official Phone
(410) 900-8897

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235749771, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 1 + 4 + 4 + 1 + 8 + 7 + 1 + 4 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1235749771.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Mental Health (Including Community Mental Health Center))
15 E CHURCHVILLE RD STE 106
BEL AIR, MD 21014
Social Worker
15 E CHURCHVILLE RD STE 106
BEL AIR, MD 21014
Social Worker (Clinical)
15 E CHURCHVILLE RD STE 106
BEL AIR, MD 21014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235749771, enumerated as an "organization" on August 07, 2020.

The provider is located at 15 E CHURCHVILLE RD STE 106 BEL AIR, MD 21014 and the phone number is (410) 888-7143.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.