Activision Fidelity Psychiatric Mental Health LLC
Activision Fidelity Psychiatric Mental Health LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Upper Marlboro, Maryland. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2409 Baikal LoopUpper Marlboro, MD 20774-7051
Phone: (301) 907-1199
Fax: (240) 342-3440
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
Record details
| NPI number | 1952008880 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenny Amanze — President · (301) 907-1199 |
| NPI enumerated | February 10, 2023 |
| Last updated in NPPES | April 9, 2026 |
| Certification date | April 9, 2026 |
| Mailing address | 2409 Baikal Loop, Upper Marlboro, MD 20774-7051 |
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