Provider Demographics
NPI:1801608518
Name:PRAGMATIC BEHAVIORAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:PRAGMATIC BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:GERMAINE N
Authorized Official - Last Name:BEUKAM
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:240-838-6599
Mailing Address - Street 1:9199 REISTERSTOWN RD STE 104B
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4513
Mailing Address - Country:US
Mailing Address - Phone:240-838-6599
Mailing Address - Fax:443-327-5510
Practice Address - Street 1:9199 REISTERSTOWN RD STE 104B
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4513
Practice Address - Country:US
Practice Address - Phone:240-838-6599
Practice Address - Fax:443-327-5510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty