MEDICARE: GREENVIEW 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1447185954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREENVIEW BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	5457 TWIN KNOLLS RD STE 300
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-3296
Country	:	US
Telephone Number	:	301-828-0966
Fax Number	:

Provider Business Practice Location Address
First Line	:	5457 TWIN KNOLLS RD STE 300
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-3296
Country	:	US
Telephone Number	:	301-828-0966
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	MRS. POOJA RANI
Credential	:	PMHNP-BC
Telephone Number	:	301-828-0966

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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