Anthem Behavioral Health, LLC
Nurse Practitioner, Psych/Mental Health in Cockeysville, MD. Organization (NPI-2).
Details
- NPI
- 1497570402
- Entity type
- Organization (NPI-2)
- Legal business name
- Anthem Behavioral Health, LLC
- Organization subpart
- No
- Enumeration date
- Nov 15, 2024
- Certification date
- Feb 13, 2025
- Last updated
- Feb 13, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- Anthem Behavioral Health, LLC (Doing Business As)
Practice location
201 International Cir Ste 230Cockeysville, MD 21030-1344
Phone 443-567-6091 · Fax 443-567-6191
Mailing address
404 N Hickory AveBel Air, MD 21014-3227
Phone 410-459-7699
Authorized official
Jennifer Petrik
Ceo
4435676091
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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