MENTOR MD
NPI 1659316636
Clinic/Center - Adolescent and Children Mental Health in Lanham, MD

Q: What is Mentor MD's NPI number?

The NPI number for Mentor MD is 1659316636. It was assigned to this organization in the NPPES registry on June 17, 2006.

Q: What is Mentor MD's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Q: When was this NPI record last updated?

The NPPES record for Mentor MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 17, 2006

4501 FORBES BLVD, SUITE 140, LANHAM, MD 20706(301) 459-3057(301) 731-3142 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mentor Md NPPES

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

MENTOR MD (NPI 1659316636) is a healthcare organization registered as an adolescent and children mental health in Lanham, Maryland and active in the NPI registry since June 2006. The organization lists Edward Matricardi, State Director, as its authorized official.

NPPES Registry Identity

NPI1659316636

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameMENTOR MD

Location Address4501 FORBES BLVD, SUITE 140Lanham, MD 20706-4326

Mailing Address4501 Forbes Blvd, Suite 140Lanham, MD 20706-4326 · (301) 459-3057 · Fax (301) 731-3142

Phone(301) 459-3057

Fax(301) 731-3142

Organization SubpartNo

Authorized OfficialEdward MatricardiState Director · (443) 543-2101

Enumeration DateJune 17, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1659316636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

License✔ Licensed in MD · 2012

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

4501 FORBES BLVD, Lanham, MD 20706

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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 Mentor MD's NPI number?

The NPI number for Mentor MD is 1659316636. It was assigned to this organization in the NPPES registry on June 17, 2006.

Where is Mentor MD located?

Mentor MD is located at 4501 Forbes Blvd Suite 140, Lanham, MD 20706. The listed phone number is (301) 459-3057.

What is Mentor MD's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Mentor MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.