National Provider Identifier Database

MENDELIS MENTAL HEALTH CENTER
Mental Health (Including Community Mental Health Center)


Contact Information

MENDELIS MENTAL HEALTH CENTER
11315 PEMBROOKE SQUARE MEDICAL CENTER
SUITE 112
WALDORF, MD20603
Phone: 301-638-5001
Fax: 301-638-5003
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for MENDELIS MENTAL HEALTH CENTER

NPI Number 1811001563
Legal business name
LBN
MENDELIS MENTAL HEALTH CENTER
Authorized official PETER MENDELIS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/19/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MENDELIS MENTAL HEALTH CENTER

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