| Family Behavioral Services, Llc | |
|
1835 University Blvd E Ste 316 Hyattsville MD 20783-4672 | |
| (301) 270-3200 | |
| (301) 270-4600 |
| Full Name | Family Behavioral Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1835 University Blvd E Ste 316, Hyattsville, Maryland |
| Authorized Official Name and Position | Nadege Nicole Fevry (CEO) |
| Authorized Official Contact | 3012703200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Behavioral Services, Llc 1835 University Blvd E Ste 316 Hyattsville MD 20783-4672 Ph: (301) 270-3200 | Family Behavioral Services, Llc 1835 University Blvd E Ste 316 Hyattsville MD 20783-4672 Ph: (301) 270-3200 |
| NPI Number | 1295747285 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 08/12/2022 |
| Certification Date | 08/12/2022 |
| Medicare PECOS PAC ID | 4284810789 |
|---|---|
| Medicare Enrollment ID | O20110518000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295747285 | NPI | - | NPPES |
| 406060100 | Medicaid | MD |
| Provider Name | Bruce L Tanenbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164590147 PECOS PAC ID: 0547241366 Enrollment ID: I20040527000641 |
| Provider Name | David J Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164427266 PECOS PAC ID: 6305835612 Enrollment ID: I20060425000191 |
| Provider Name | Darryl Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992057137 PECOS PAC ID: 3678881430 Enrollment ID: I20150929001781 |
| Provider Name | Yves A Edouard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447314935 PECOS PAC ID: 8224296256 Enrollment ID: I20160628001335 |
| Provider Name | Omolara A Kasumu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699298489 PECOS PAC ID: 4284908443 Enrollment ID: I20170927000449 |
| Provider Name | Honorine E Wanie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245625649 PECOS PAC ID: 5597042721 Enrollment ID: I20171004000365 |
| Provider Name | Eva K Ogbuokiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982052098 PECOS PAC ID: 3274873740 Enrollment ID: I20190320002054 |
| Provider Name | Cheryl Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548643166 PECOS PAC ID: 4981913191 Enrollment ID: I20190823000623 |
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