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ANTHEM BEHAVIORAL HEALTH, LLC
NPI 1497570402
Nurse Practitioner - Psychiatric/Mental Health in Cockeysville, MD

Active since November 15, 2024
201 INTERNATIONAL CIR STE 230, COCKEYSVILLE, MD 21030(443) 567-6091(443) 567-6191 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2025, Dec 3, 2024, Nov 15, 2024 (3 updates tracked since 2024).

About Anthem Behavioral Health, Llc NPPES

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

ANTHEM BEHAVIORAL HEALTH, LLC (NPI 1497570402) is a healthcare organization registered as a psychiatric/mental health in Cockeysville, Maryland and active in the NPI registry since November 2024. The organization lists Jennifer Petrik, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497570402
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameANTHEM BEHAVIORAL HEALTH, LLC
Location Address201 INTERNATIONAL CIR STE 230Cockeysville, MD 21030-1344
Mailing Address404 N Hickory AveBel Air, MD 21014-3227 · (410) 459-7699
Phone(443) 567-6091
Fax(443) 567-6191
Organization SubpartNo
Authorized OfficialJennifer PetrikCeo · (443) 567-6091
Enumeration DateNovember 15, 2024
Last NPPES UpdateFebruary 13, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1497570402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
201 INTERNATIONAL CIR STE 230, Cockeysville, MD 21030
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Other Names 1

Doing Business AsAnthem Behavioral Health, Llc

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA FROUNFELKER
Behavior Technician
201 INTERNATIONAL CIR STE 230
HUNT VALLEY, MD 21030
Baltimore County (866) 287-2036
KORINE DEVITT
Behavior Technician
201 INTERNATIONAL CIR STE 230
HUNT VALLEY, MD 21030
Baltimore County (866) 287-2036
ALEXANDRA WEBSTER
Behavior Technician
201 INTERNATIONAL CIR STE 230
HUNT VALLEY, MD 21030
Baltimore County (866) 287-2036
TOMISIN LONGE
Behavior Technician
201 INTERNATIONAL CIR STE 230
HUNT VALLEY, MD 21030
Baltimore County (866) 287-2036
TAMMY WITTER
Behavior Technician
201 INTERNATIONAL CIR STE 230
HUNT VALLEY, MD 21030
Baltimore County (866) 287-0326
KAYLA ROSS
Behavior Technician
201 INTERNATIONAL CIR STE 230
HUNT VALLEY, MD 21030
Baltimore County (866) 287-2036
JAMECIA LEYS
Behavior Technician
201 INTERNATIONAL CIR STE 230
HUNT VALLEY, MD 21030
Baltimore County (866) 287-2036
LAURA NDOUR
Behavior Technician
201 INTERNATIONAL CIR STE 230
HUNT VALLEY, MD 21030
Baltimore County (866) 287-2036

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 1497570402. It was assigned to this organization in the NPPES registry on November 15, 2024.

Where is Anthem Behavioral Health, LLC located?

Anthem Behavioral Health, LLC is located at 201 International Cir Ste 230, Cockeysville, MD 21030. The listed phone number is (443) 567-6091.

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 17 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.