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NPI Code Detail

MEDICARE: COMMUNITY BEHAVIORAL HEALTH LLC

MEDICARE: COMMUNITY BEHAVIORAL HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyD0037205MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215275466
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY BEHAVIORAL HEALTH LLC
Provider Business Mailing Address
First Line : 426 DORCHESTER AVE
Second Line :
City : CAMBRIDGE
State : MD
Zip : 21613-2446
Country : US
Telephone Number : 844-224-5264
Fax Number : 410-824-1323
Provider Business Practice Location Address
First Line : 426 DORCHESTER AVE
Second Line :
City : CAMBRIDGE
State : MD
Zip : 21613-2446
Country : US
Telephone Number : 844-224-5264
Fax Number : 888-509-0010
Authorized Official
Title or Position : OWNER/CHIEF ADMINISTRATION
Name : SUSHMA N JANI
Credential :
Telephone Number : 202-329-7774
Provider Enumeration Date : 01/23/2013
Last Update Date : 04/16/2026

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Directions to “COMMUNITY BEHAVIORAL HEALTH LLC ” Practice Location

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