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MAGNOLIA BEHAVIOR HEALTH CENTER LLC
NPI 1417730466
Clinic/Center - Rehabilitation in Frederick, MD

Active since August 15, 2023
604 SOLAREX CT UNIT 205, FREDERICK, MD 21703(301) 305-5731(301) 698-8789 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2023, Aug 15, 2023 (2 updates tracked since 2023).

About Magnolia Behavior Health Center Llc NPPES

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

MAGNOLIA BEHAVIOR HEALTH CENTER LLC (NPI 1417730466) is a healthcare organization registered as a rehabilitation in Frederick, Maryland and active in the NPI registry since August 2023. The organization lists Julia Shirima, Provider, as its authorized official.

NPPES Registry Identity

NPI1417730466
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameMAGNOLIA BEHAVIOR HEALTH CENTER LLC
Location Address604 SOLAREX CT UNIT 205Frederick, MD 21703-8655
Mailing Address604 Solarex Ct Unit 205Frederick, MD 21703-8655 · (301) 305-5731 · Fax (301) 698-8789
Phone(301) 305-5731
Fax(301) 698-8789
Organization SubpartNo
Authorized OfficialJulia ShirimaProvider · (301) 305-5731
Enumeration DateAugust 15, 2023
Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
✔ NPI 1417730466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
604 SOLAREX CT UNIT 205, Frederick, MD 21703
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magnolia Behavior Health Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Magnolia Behavior Health Center LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner7
Clinical Social Worker3

Clinicians, nearest first (10)

Sylvie Mirindi, CRNP-PMH
Nurse Practitioner
NPI 1083311500
200 RED TAIL CT
Sandy Spring, MD 20905
(202) 341-5961
✔ PECOS✔ Accepts Medicare29 mi
Juliet Numfor
Nurse Practitioner
NPI 1205554359
1000 MARSHANE RD
Reisterstown, MD 21136
(301) 785-3633
✔ PECOS✔ Accepts Medicare32 mi
Dympna Ndelle, NP
Nurse Practitioner
NPI 1386414480
9300 SENEY LN
Owings Mills, MD 21117
(410) 805-7816
✔ PECOS✔ Accepts Medicare34 mi
Josephine Gang, CRNP-PMH
Nurse Practitioner
NPI 1831804350
4061 POWDER MILL RD STE 400-1
Beltsville, MD 20705
(301) 502-6460
✔ PECOS36 mi
Margaret Okesola, NP
Nurse Practitioner
NPI 1730922055
413 COMMONWEALTH AVE
Catonsville, MD 21228
(443) 904-5129
✔ PECOS38 mi
Jessica Flowers, LCSW-C
Clinical Social Worker
NPI 1780203331
1800 ALTO VISTA AVE
Baltimore, MD 21207
(443) 804-4460
✔ PECOS✔ Accepts Medicare38 mi
Arthur Flax, LCSW-C
Clinical Social Worker
NPI 1356344899
6126 GREEN MEADOW PKWY APT D
Baltimore, MD 21209
(410) 653-6300
✔ PECOS✔ Accepts Medicare41 mi
Tiffany Casey-Omosowon, LICSW
Clinical Social Worker
NPI 1184032088
1200 FIRST ST NE, 9TH FLOOR
Washington, DC 20002
(803) 378-7557
✔ PECOS41 mi
Yetunde Oladimeji-Stevens
Nurse Practitioner
NPI 1225712318
499C BEAUMONT AVE APT 18
Baltimore, MD 21212
(443) 803-4338
✔ PECOS✔ Accepts Medicare44 mi
Esther Ejinaka
Nurse Practitioner
NPI 1376310029
1214 GOLDMINE CT
Hyattsville, MD 20785
(240) 643-7073
✔ PECOS✔ Accepts Medicare45 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 Magnolia Behavior Health Center LLC's NPI number?

The NPI number for Magnolia Behavior Health Center LLC is 1417730466. It was assigned to this organization in the NPPES registry on August 15, 2023.

Where is Magnolia Behavior Health Center LLC located?

Magnolia Behavior Health Center LLC is located at 604 Solarex Ct Unit 205, Frederick, MD 21703. The listed phone number is (301) 305-5731.

What is Magnolia Behavior Health Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Is Magnolia Behavior Health Center LLC enrolled in Medicare?

Yes. Magnolia Behavior Health Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Behavior Health Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Magnolia Behavior Health Center LLC. 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. The largest specialties are Nurse Practitioner (7) and Clinical Social Worker (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Magnolia Behavior Health Center LLC was last updated on October 26, 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.