HARBORSIDE BEHAVIORAL HEALTH, LLC
NPI 1972069201
Nurse Practitioner - Psychiatric/Mental Health in Leonardtown, MD

Active since February 12, 2019
41625 PARK AVE, LEONARDTOWN, MD 20650(301) 494-1009(970) 296-5636 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 14, 2022, Nov 12, 2021, Oct 7, 2020 and 1 more (4 updates tracked since 2019).

About Harborside Behavioral Health, Llc NPPES

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

HARBORSIDE BEHAVIORAL HEALTH, LLC (NPI 1972069201) is a healthcare organization registered as a psychiatric/mental health in Leonardtown, Maryland and active in the NPI registry since February 2019. The organization lists Sabrina Sepulveda, Owner, as its authorized official.

NPPES Registry Identity

NPI1972069201
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHARBORSIDE BEHAVIORAL HEALTH, LLC
Location Address41625 PARK AVELeonardtown, MD 20650-3894
Mailing AddressPo Box 452Valley Lee, MD 20692-0452 · (443) 401-1376 · Fax (970) 296-5636
Fax(970) 296-5636
Organization SubpartNo
Authorized OfficialSabrina SepulvedaOwner · (301) 494-1009
Enumeration DateFebruary 12, 2019
Last NPPES UpdateOctober 14, 20224 updates tracked since enumeration
NPPES CertifiedOctober 14, 2022
NPI 1972069201 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
41625 PARK AVE, Leonardtown, MD 20650

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 5

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

Psychiatry & Neurology (Neurology)
41625 PARK AVE, SUITE 300
LEONARDTOWN, MD 20650
Counselor (Mental Health)
41625 PARK AVE, SUITE 300
LEONARDTOWN, MD 20650
Psychiatry & Neurology (Psychiatry)
41625 PARK AVE, SUITE 300
LEONARDTOWN, MD 20650
Nurse Practitioner (Psychiatric/Mental Health)
41625 PARK AVE
LEONARDTOWN, MD 20650
Social Worker (Clinical)
41625 PARK AVE, SUITE 300
LEONARDTOWN, MD 20650

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 Harborside Behavioral Health, LLC's NPI number?

The NPI number for Harborside Behavioral Health, LLC is 1972069201. It was assigned to this organization in the NPPES registry on February 12, 2019.

Where is Harborside Behavioral Health, LLC located?

Harborside Behavioral Health, LLC is located at 41625 Park Ave, Leonardtown, MD 20650. The listed phone number is (301) 494-1009.

What is Harborside 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 Harborside Behavioral Health, LLC was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.