Prime Behavioral Health LLC
NPI 1164990818 · Mental Health Clinic/Center (Including Community Mental Health Center) · Laurel, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Behavioral Health LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Laurel, MD (NPI 1164990818).
Provider details
- NPI number
- 1164990818
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Julius Fomengia, Partner(240) 463-3357
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-11-10
- Last updated
- 2018-11-10
Frequently asked questions
- What is Prime Behavioral Health LLC's NPI number?
- Prime Behavioral Health LLC's National Provider Identifier (NPI) is 1164990818, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Behavioral Health LLC?
- Prime Behavioral Health LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Prime Behavioral Health LLC located?
- Prime Behavioral Health LLC's practice location on file with NPPES is 13994 Baltimore Ave Ste 102, Laurel, MD 20707-5087.
- What is Prime Behavioral Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Behavioral Health LLC is (240) 463-3357.
- Does Prime Behavioral Health LLC accept Medicare?
- Prime Behavioral Health LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prime Behavioral Health LLC?
- The authorized official listed on Prime Behavioral Health LLC's NPPES record is Julius Fomengia, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Behavioral Health LLC's NPI active?
- Yes — Prime Behavioral Health LLC's NPI (1164990818) is active in the NPPES registry as of the last update on 2018-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.