Mendelis Mental Health Center Llc

LBN: Mendelis Mental Health Center Llc
Mendelis Mental Health Center Llc is an health care organization with primary practice located at 11315 Pembrooke Sq Ste 112 , Waldorf MD 20603-4806. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Mendelis Mental Health Center Llc can be contacted via phone (301) 638-5001, or through Mendelis, Peter S via phone (301) 638-5001.

Contact Information

Primary practice address
11315 Pembrooke Sq Ste 112 Waldorf MD 20603-4806
Phone: (301) 638-5001
Fax: (301) 638-5003
Website:
Map and Directions
Authorized official contact:
Name: Mendelis, Peter S Doctor of Medicine (MD)
Phone: (301) 638-5001

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12909 Maryland
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D0025586 Maryland

Profile Details

NPI number 1053408377
LBN Legal business name Mendelis Mental Health Center Llc
DBA Doing business as
Authorized official Mendelis, Peter S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Nov 15th, 2011 - about 13 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 1053408377 NPPES
Maryland MEDICAID 546610500
Maryland MEDICAID 950006501

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