| Urban Behavioral Associates | |
|
5001 Silver Hill Rd Ste 101 Suitland MD 20746-5215 | |
| (202) 836-7776 | |
| Not Available |
| Full Name | Urban Behavioral Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 5001 Silver Hill Rd Ste 101, Suitland, Maryland |
| Authorized Official Name and Position | Tracee Burroughs (CEO) |
| Authorized Official Contact | 4107793102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Behavioral Associates 700 Washington Blvd Baltimore MD 21230-2350 Ph: (410) 779-3102 | Urban Behavioral Associates 5001 Silver Hill Rd Ste 101 Suitland MD 20746-5215 Ph: (202) 836-7776 |
| NPI Number | 1568912178 |
|---|---|
| Provider Enumeration Date | 10/06/2016 |
| Last Update Date | 05/25/2023 |
| Certification Date | 05/25/2023 |
| Medicare PECOS PAC ID | 5698712966 |
|---|---|
| Medicare Enrollment ID | O20050921000782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568912178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MH2242 (Maryland) | Primary |
| Provider Name | Tracee Burroughs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992834238 PECOS PAC ID: 8224197090 Enrollment ID: I20150724010689 |
| Provider Name | Courtney Neville Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841718624 PECOS PAC ID: 7214295898 Enrollment ID: I20190328001298 |
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