MEDICARE: JAY CARE MENTAL HEALTH INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QM0850X	Adult Mental Health Clinic/Center
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
5	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1740948694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAY CARE MENTAL HEALTH INC

Provider Business Mailing Address
First Line	:	8508 LOCH RAVEN BLVD
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21286-2354
Country	:	US
Telephone Number	:	443-275-2357
Fax Number	:

Provider Business Practice Location Address
First Line	:	8508 LOCH RAVEN BLVD STE E
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21286-2354
Country	:	US
Telephone Number	:	443-275-2357
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHINYERE MABLE OBI
Credential	:
Telephone Number	:	443-985-4976

Provider Enumeration Date	:	12/07/2021
Last Update Date	:	04/10/2025

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