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KINGDOM BEHAVIORAL HEALTH LLC
NPI 1750904314
Nurse Practitioner - Psychiatric/Mental Health in Hagerstown, MD

Active since May 18, 2020
5 PUBLIC SQ STE 213, HAGERSTOWN, MD 21740(240) 284-4641(240) 284-4671 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2020, May 18, 2020 (2 updates tracked since 2020).

About Kingdom Behavioral Health Llc NPPES

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

KINGDOM BEHAVIORAL HEALTH LLC (NPI 1750904314) is a healthcare organization registered as a psychiatric/mental health in Hagerstown, Maryland and active in the NPI registry since May 2020. The organization lists Taofeek Bello, Presisent/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1750904314
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKINGDOM BEHAVIORAL HEALTH LLC
Location Address5 PUBLIC SQ STE 213Hagerstown, MD 21740-5599
Mailing Address5 Public Sq Ste 213Hagerstown, MD 21740-5599 · (240) 284-4641 · Fax (240) 284-4671
Phone(240) 284-4641
Fax(240) 284-4671
Organization SubpartNo
Authorized OfficialTaofeek BelloPresisent/ Ceo · (240) 284-4641
Enumeration DateMay 18, 2020
Last NPPES UpdateJune 3, 20202 updates tracked since enumeration
NPPES CertifiedJune 3, 2020
✔ NPI 1750904314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
5 PUBLIC SQ STE 213, Hagerstown, MD 21740
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Other Identifiers 1

Medicaid007559100MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

KINGDOM BEHAVIORAL HEALTH LLC
Psychiatry & Neurology (Psychiatry)
5 PUBLIC SQ STE 213
HAGERSTOWN, MD 21740
Washington County (443) 968-1153

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 Kingdom Behavioral Health LLC's NPI number?

The NPI number for Kingdom Behavioral Health LLC is 1750904314. It was assigned to this organization in the NPPES registry on May 18, 2020.

Where is Kingdom Behavioral Health LLC located?

Kingdom Behavioral Health LLC is located at 5 Public Sq Ste 213, Hagerstown, MD 21740. The listed phone number is (240) 284-4641.

What is Kingdom 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 Kingdom Behavioral Health LLC was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.