Anthem Behavioral Health, LLC
NPI 1417736091 · 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)
Anthem Behavioral Health, LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Bel Air, MD (NPI 1417736091).
Provider details
- NPI number
- 1417736091
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jennifer Petrik, Ceo(443) 567-6091
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-09-25
- Last updated
- 2025-02-13
- Certified
- 2025-02-13
Frequently asked questions
- What is Anthem Behavioral Health, LLC's NPI number?
- Anthem Behavioral Health, LLC's National Provider Identifier (NPI) is 1417736091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Anthem Behavioral Health, LLC?
- Anthem Behavioral Health, LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Anthem Behavioral Health, LLC located?
- Anthem Behavioral Health, LLC's practice location on file with NPPES is 404 N Hickory Ave, Bel Air, MD 21014-3227.
- What is Anthem Behavioral Health, LLC's phone number?
- The practice phone number listed in the NPPES registry for Anthem Behavioral Health, LLC is (410) 459-7699.
- Does Anthem Behavioral Health, LLC accept Medicare?
- Anthem 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 Anthem Behavioral Health, LLC?
- The authorized official listed on Anthem Behavioral Health, LLC's NPPES record is Jennifer Petrik, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Anthem Behavioral Health, LLC's NPI active?
- Yes — Anthem Behavioral Health, LLC's NPI (1417736091) is active in the NPPES registry as of the last update on 2025-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.