1. Home
  2. Directory
  3. Maryland
  4. Waldorf
  5. Nurse Practitioner
  6. NPI Profile

ADVANCE INTEGRATED HEALTH, LLC
NPI 1952976771
Nurse Practitioner - Psychiatric/Mental Health in Waldorf, MD

Active since May 24, 2021CLIA 21D2273148 · Waiver
101 PAUL MELLON CT STE 5, WALDORF, MD 20602(301) 810-4026 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2026, May 24, 2021 (2 updates tracked since 2021).

About Advance Integrated Health, Llc NPPES

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

ADVANCE INTEGRATED HEALTH, LLC (NPI 1952976771), doing business as Aih Behavioral Health, is a healthcare organization registered as a psychiatric/mental health in Waldorf, Maryland and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through December 6, 2026 and lists Samuel Sulaiman Koroma, Owner, as its authorized official.

NPPES Registry Identity

NPI1952976771
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameADVANCE INTEGRATED HEALTH, LLC
Location Address101 PAUL MELLON CT STE 5Waldorf, MD 20602-2761
Mailing Address101 Paul Mellon Ct Ste 5Waldorf, MD 20602-2761 · (301) 810-4026
Phone(301) 810-4026
Organization SubpartNo
Authorized OfficialSamuel Sulaiman KoromaOwner · (301) 810-4026
Enumeration DateMay 24, 2021
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1952976771 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
101 PAUL MELLON CT STE 5, Waldorf, MD 20602
Open in Google Maps ↗

Other Names 1

Doing Business AsAih Behavioral Health

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2273148

Advance Integrated Health · Waldorf, MD
Active · expires Dec 6, 2026
CLIA Number21D2273148
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorDeborah K. Koroma
Laboratory Phone(301) 810-4026
Laboratory LocationAdvance Integrated Health101 Paul Mellon Ct Unit 5, Waldorf, MD 20602
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SAMUEL SULAIMAN KOROMA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
101 PAUL MELLON CT STE 5
WALDORF, MD 20602
Charles County (301) 810-4026

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 Advance Integrated Health, LLC's NPI number?

The NPI number for Advance Integrated Health, LLC is 1952976771. It was assigned to this organization in the NPPES registry on May 24, 2021. The provider is doing business as AIH Behavioral Health.

Where is Advance Integrated Health, LLC located?

Advance Integrated Health, LLC is located at 101 Paul Mellon Ct Ste 5, Waldorf, MD 20602. The listed phone number is (301) 810-4026.

What is Advance Integrated Health, LLC's specialty?

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

Does Advance Integrated Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2273148) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advance Integrated Health, LLC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.