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GEBAJ MENTAL HEALTH AND CORE SERVICES CLINIC, INC
NPI 1922866011
Registered Nurse - Psychiatric/Mental Health in Riverdale, MD

Active since March 12, 2024
6200 BALTIMORE AVE, #300-R9, RIVERDALE, MD 20737(240) 930-0811(443) 272-7756 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2025, Sep 4, 2024 (2 updates tracked since 2024).

About Gebaj Mental Health And Core Services Clinic, Inc NPPES

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

GEBAJ MENTAL HEALTH AND CORE SERVICES CLINIC, INC (NPI 1922866011) is a healthcare organization registered as a psychiatric/mental health in Riverdale, Maryland and active in the NPI registry since March 2024. The organization lists Basil E. Fomanka, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1922866011
Entity TypeOrganization
Primary Taxonomy163WP0808X
Legal Business NameGEBAJ MENTAL HEALTH AND CORE SERVICES CLINIC, INC
Location Address6200 BALTIMORE AVE, #300-R9Riverdale, MD 20737-1054
Mailing Address6200 Baltimore Ave, 300-r9Riverdale, MD 20737-1054 · (240) 930-0811 · Fax (443) 272-7756
Phone(240) 930-0811
Fax(443) 272-7756
Organization SubpartNo
Authorized OfficialBasil E. FomankaCeo/owner · (443) 520-8138
Enumeration DateMarch 12, 2024
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1922866011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
6200 BALTIMORE AVE, Riverdale, MD 20737
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Other Names 1

Doing Business AsGebaj Mental Health And Core Services Clinic, Inc

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gebaj Mental Health And Core Services Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gebaj Mental Health And Core Services Clinic, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Basil Fomanka
Nurse Practitioner
NPI 1013621010
6200 BALTIMORE AVE 300-R9
Riverdale, MD 20737
(443) 520-8138
✔ PECOS✔ Accepts MedicareSame address

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 Gebaj Mental Health And Core Services Clinic, Inc's NPI number?

The NPI number for Gebaj Mental Health And Core Services Clinic, Inc is 1922866011. It was assigned to this organization in the NPPES registry on March 12, 2024.

Where is Gebaj Mental Health And Core Services Clinic, Inc located?

Gebaj Mental Health And Core Services Clinic, Inc is located at 6200 Baltimore Ave #300-R9, Riverdale, MD 20737. The listed phone number is (240) 930-0811.

What is Gebaj Mental Health And Core Services Clinic, Inc's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Gebaj Mental Health And Core Services Clinic, Inc enrolled in Medicare?

Yes. Gebaj Mental Health And Core Services Clinic, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gebaj Mental Health And Core Services Clinic, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Gebaj Mental Health And Core Services Clinic, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gebaj Mental Health And Core Services Clinic, Inc was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.