TARGET BEHAVIORAL HEALTH SERVICES, LLC
NPI 1235749771
Nurse Practitioner - Psychiatric/Mental Health in Bel Air, MD

NPI Status: Active since August 07, 2020

Contact Information

15 E CHURCHVILLE RD STE 106
BEL AIR, MD
ZIP 21014
Phone: (410) 888-7143
Fax: (410) 888-7145

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About TARGET BEHAVIORAL HEALTH SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Target Behavioral Health Services, Llc, a provider established in Bel Air, Maryland operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1235749771 assigned on August 2020. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated July 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's . The authorized official of this NPI record is Dr. Folashade Kanimodo Crnp (Ceo)

NPI
1235749771
Provider Legal Name
TARGET BEHAVIORAL HEALTH SERVICES, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
15 E CHURCHVILLE RD STE 106 BEL AIR, MD 21014
Location Phone
(410) 888-7143
Location Fax
(410) 888-7145
Mailing Address
1415 MOONSHADOW RD BEL AIR, MD 21015
Mailing Phone
(410) 900-8897
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-07-2020
Last Update Date
07-09-2025
Code Navigator

A nurse practitioner (NP) like Target Behavioral Health Services, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 1415 Moonshadow Rd
    Bel Air, MD 21015
    (410) 900-8897

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. FOLASHADE KANIMODO CRNP

Authorized Official Title
CEO
Authorized Official Phone
(410) 900-8897

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235749771
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226514418714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 4 + 4 + 1 + 8 + 7 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1235749771 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245811009TARGET BEHAVIORAL HEALTH SERVICES, LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))15 E CHURCHVILLE RD STE 106
BEL AIR, MD 21014
(410) 888-7143

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235749771, enumerated in the NPI registry as an "organization" on August 07, 2020

The provider is located at 15 E Churchville Rd Ste 106 Bel Air, Md 21014 and the phone number is (410) 888-7143

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on August 07, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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