OrganizationActive
Mentor MD
NPI 1659316636 · Adolescent and Children Mental Health Clinic/Center · Lanham, MD
Provider details
- NPI number
- 1659316636
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Edward Matricardi, State Director(443) 543-2101
- License
- 2012 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
4501 Forbes Blvd
Suite 140
Lanham, MD 20706-4326
Phone: (301) 459-3057
Fax: (301) 731-3142
Street-level locationGet directions
Mailing address
4501 Forbes Blvd
Lanham, MD 20706-4326
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.