Organization
INNOVATIVE PSYCHIATRIC ASSOCIATES LLC
Active
Other names
Innovative Behavioral Medicine LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER J TUNDO PMHNP-BC (PSYCHIATRIC MENTAL HEALTH NP)
(202) 322-9350
Entity
Organization
Contact information
Practice address
801 WAYNE AVE STE G100, SILVER SPRING, MD 20910-4493
(301) 615-8752
(240) 660-5460
Mailing address
801 WAYNE AVE STE G100, SILVER SPRING, MD 20910-4493
(202) 322-9350
(240) 660-5460
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
778129600
—
MD
Enumeration date
10/25/2019
Last updated
05/16/2025
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