Target Behavioral Health Services, LLC
NPI 1235749771 · Psychiatric/Mental Health Nurse Practitioner · Bel Air, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Target Behavioral Health Services, LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Bel Air, MD (NPI 1235749771).
Provider details
- NPI number
- 1235749771
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Folashade Kanimodo, Ceo(410) 900-8897
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Other name
- Target Behavioral Health Services, LLC
Additional practice locations (1)
- 1415 Moonshadow RdBel Air, MD 21015-4999Phone: (410) 900-8897
Registry dates
- Enumerated
- 2020-08-07
- Last updated
- 2025-07-09
- Certified
- 2025-07-09
Frequently asked questions
- What is Target Behavioral Health Services, LLC's NPI number?
- Target Behavioral Health Services, LLC's National Provider Identifier (NPI) is 1235749771, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Target Behavioral Health Services, LLC?
- Target Behavioral Health Services, LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Target Behavioral Health Services, LLC located?
- Target Behavioral Health Services, LLC's practice location on file with NPPES is 15 E Churchville Rd Ste 106, Bel Air, MD 21014-3837.
- What is Target Behavioral Health Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Target Behavioral Health Services, LLC is (410) 888-7143.
- Does Target Behavioral Health Services, LLC accept Medicare?
- Target Behavioral Health Services, 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 Target Behavioral Health Services, LLC?
- The authorized official listed on Target Behavioral Health Services, LLC's NPPES record is Folashade Kanimodo, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Target Behavioral Health Services, LLC's NPI active?
- Yes — Target Behavioral Health Services, LLC's NPI (1235749771) is active in the NPPES registry as of the last update on 2025-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.