RESTORATIVE BEHAVIOR, LLC
NPI 1518613264
Clinic/Center - Adult Mental Health in Upper Marlboro, MD

NPI Status: Active since February 22, 2022

Contact Information

9701 APOLLO DR
UPPER MARLBORO, MD
ZIP 20774
Phone: (301) 798-6125
Fax: (301) 355-0276

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About RESTORATIVE BEHAVIOR, LLC

This page provides the complete NPI Profile along with additional information for Restorative Behavior, Llc, a provider established in Upper Marlboro, Maryland operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1518613264 assigned on February 2022. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Ebonique Katress Mcclinnahan Rn, Msn, Pmhnp-bc (Owner And Clinician)

NPI
1518613264
Provider Name
RESTORATIVE BEHAVIOR, LLC
Entity Type
Organization
Location Address
9701 APOLLO DR UPPER MARLBORO, MD 20774
Location Phone
(301) 798-6125
Location Fax
(301) 355-0276
Mailing Address
9701 APOLLO DR UPPER MARLBORO, MD 20774
Mailing Phone
(301) 798-6125
Mailing Fax
(301) 355-0276
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-22-2022
Last Update Date
03-04-2022
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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

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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)
1363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MS. EBONIQUE KATRESS MCCLINNAHAN RN, MSN, PMHNP-BC

Authorized Official Title
OWNER AND CLINICIAN
Authorized Official Phone
(910) 797-1491

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6660066.OTHER (01)MDAETNA

Reviews for RESTORATIVE BEHAVIOR, LLC

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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.
1518613264
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25281216212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 2 + 1 + 6 + 2 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1518613264 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245278837 SAUNDRA WALKER HARRIS LCSW
Individual
Social Worker9701 APOLLO DR STE 391
LARGO, MD 20774
(301) 583-1181
1811939804 MELODY WASHINGTON LCSW-C
Individual
Social Worker (Clinical)9701 APOLLO DR STE 391
LARGO, MD 20774
(301) 583-1181
1215979232 FRANCES ANTIONETTE JAMES LCSW-C
Individual
Social Worker (Clinical)9701 APOLLO DR STE 391
LARGO, MD 20774
(301) 583-1181
1093845562SAUNDRA WALKER HARRIS
Organization
Counselor (Mental Health)9701 APOLLO DR SUITE 391
LARGO, MD 20774
(301) 583-1181
1548484231DR. CATHERINE E. GRAHAM PSY.D.
Individual
Psychologist (Clinical)9701 APOLLO DR SUITE 341
LARGO, MD 20774
(301) 237-0131
1386840452NEW DIMENSION THERAPEUTIC SERVICES LLC
Organization
Social Worker (Clinical)9701 APOLLO DR SUITE 331
LARGO, MD 20774
(301) 322-9190
1346557402TRACY STUBBLEFIELD LLC
Organization
Social Worker (Clinical)9701 APOLLO DR SUITE 441
LARGO, MD 20774
(240) 764-6892
1619270246CHILDREN'S EMPOWERMENT GROUP, LLC
Organization
Psychologist (Clinical)9701 APOLLO DR SUITE 341
LARGO, MD 20774
(301) 583-7798
1316201296CARE FOR LIFE HEALTH, INC.
Organization
Home Health9701 APOLLO DR SUITE 301
LARGO, MD 20774
(301) 358-3781
1134456312 ROBYN L WILLIAMS MA
Individual
Counselor (Mental Health)9701 APOLLO DR SUITE 441
LARGO, MD 20774
(240) 354-9688
1003034158MS. SAFI KHADIJA LYNCH L.C.S.W.-CLINICAL
Individual
Social Worker (Clinical)9701 APOLLO DR SUITE 391
UPPER MARLBORO, MD 20774
(301) 583-1181
1386986677MR. WILLIAM WAGNER
Individual
Counselor (Mental Health)9701 APOLLO DR SUITE 441
LARGO, MD 20774
(410) 318-9215
1720272305 DANA HUBBARD LCSW-C
Individual
Social Worker (Clinical)9701 APOLLO DR SUITE 301
LARGO, MD 20774
(301) 651-2588
1922470046PLATE OF X'PRESSIONS, LLC
Organization
Preferred Provider Organization9701 APOLLO DR SUITE 301
LARGO, MD 20774
(240) 501-1336
1629441159MY WRITE MIND, LLC
Organization
Social Worker (Clinical)9701 APOLLO DR SUITE 301
LARGO, MD 20774
(240) 424-0078
1386018307COLLINS CONSULTING, LLC
Organization
Social Worker (Clinical)9701 APOLLO DR
LARGO, MD 20774
(301) 533-7667
1629339874HEART TO HAND, INC
Organization
Internal Medicine (Infectious Disease)9701 APOLLO DR SUITE 400
LARGO, MD 20774
(301) 772-0103
1528412590MISTAKEN IDENTITY CORPORATION
Organization
Case Manager/Care Coordinator9701 APOLLO DR SUITE 301
LARGO, MD 20774
(301) 298-5543
1629422209SENIOR CARE ANGELS
Organization
In Home Supportive Care9701 APOLLO DR SUITE 297
LARGO, MD 20774
(301) 583-8820
1891175451THE SOLACE CENTER
Organization
Counselor9701 APOLLO DR SUITE 461
LARGO, MD 20774
(240) 714-3560

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518613264, enumerated in the NPI registry as an "organization" on February 22, 2022

The provider is located at 9701 Apollo Dr Upper Marlboro, Md 20774 and the phone number is (301) 798-6125

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

The provider might be accepting Accepts: Aetna, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 22, 2022. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.