ANTHEM BEHAVIORAL HEALTH, LLC
NPI 1417736091
Nurse Practitioner - Psychiatric/Mental Health in Bel Air, MD

Q: What is Anthem Behavioral Health, LLC's NPI number?

The NPI number for Anthem Behavioral Health, LLC is 1417736091. It was assigned to this organization in the NPPES registry on September 25, 2023.

Q: What is Anthem Behavioral Health, LLC's specialty?

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

Active since September 25, 2023

404 N HICKORY AVE, BEL AIR, MD 21014(410) 459-7699 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2025, Dec 16, 2024, Nov 15, 2024 and 1 more (4 updates tracked since 2024).

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About Anthem Behavioral Health, Llc NPPES

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

ANTHEM BEHAVIORAL HEALTH, LLC (NPI 1417736091) is a healthcare organization registered as a psychiatric/mental health in Bel Air, Maryland and active in the NPI registry since September 2023. The organization lists Jennifer Petrik, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417736091

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameANTHEM BEHAVIORAL HEALTH, LLC

Location Address404 N HICKORY AVEBel Air, MD 21014-3227

Mailing Address404 N Hickory AveBel Air, MD 21014-3227 · (443) 567-6091

Phone(410) 459-7699

Organization SubpartNo

Authorized OfficialJennifer PetrikCeo · (443) 567-6091

Enumeration DateSeptember 25, 2023

Last NPPES UpdateFebruary 13, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2025

✔ NPI 1417736091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

404 N HICKORY AVE, Bel Air, MD 21014

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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

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 Anthem Behavioral Health, LLC's NPI number?

The NPI number for Anthem Behavioral Health, LLC is 1417736091. It was assigned to this organization in the NPPES registry on September 25, 2023.

Where is Anthem Behavioral Health, LLC located?

Anthem Behavioral Health, LLC is located at 404 N Hickory Ave, Bel Air, MD 21014. The listed phone number is (410) 459-7699.

What is Anthem 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 Anthem Behavioral Health, LLC was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.