OrganizationActive
Gebaj Mental Health and Core Services Clinic, Inc
NPI 1922866011 · Psychiatric/Mental Health Registered Nurse · Riverdale, MD
Provider details
- NPI number
- 1922866011
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Basil Fomanka, Ceo/Owner(443) 520-8138
Specialties & taxonomies
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(57/100 index)
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
6200 Baltimore Ave
#300-R9
Riverdale, MD 20737-1054
Phone: (240) 930-0811
Fax: (443) 272-7756
Street-level locationGet directions
Mailing address
6200 Baltimore Ave
Riverdale, MD 20737-1054
Other names (DBA / former)
- Doing business as
- Gebaj Mental Health and Core Services Clinic, Inc
- Doing business as
- Gebaj Mental Health and Core Services Clinic, Inc
Registry dates
- Enumerated
- 2024-03-12
- Last updated
- 2025-09-18
- Certified
- 2025-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.