Innovative Behavioral Medicine Llc

LBN: Innovative Psychiatric Associates Llc
Innovative Behavioral Medicine Llc is an health care organization with primary practice located at 801 Wayne Ave Ste G100 , Silver Spring MD 20910-4493. The organization recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. Innovative Psychiatric Associates Llc can be contacted via phone (301) 615-8752, or through Goisse, Christopher J via phone (301) 615-8752.

Contact Information

Primary practice address
801 Wayne Ave Ste G100 Silver Spring MD 20910-4493
Phone: (301) 615-8752
Fax: (240) 660-5460
Website:
Map and Directions
Authorized official contact:
Name: Goisse, Christopher J MSN, MBA, PMHNP-BC
Phone: (301) 615-8752

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1043853740
LBN Legal business name Innovative Psychiatric Associates Llc
DBA Doing business as Innovative Behavioral Medicine Llc
Authorized official Goisse, Christopher J MSN, MBA, PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2019
Last updated Dec 10th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043853740 NPPES
Maryland MEDICAID 778129600

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