NPIMap

Organization Active NPI

Potomac Ridge Behavioral Health Es

  • Psychiatric Hospital
  • Cambridge, MD
National Provider Identifier
1003074980
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
POTOMAC RIDGE BEHAVIORAL HEALTH ES
Practice address
821 Fieldcrest Rd
Cambridge, MD 21613-9423
Phone
(410) 221-0288
Fax
(410) 228-9588
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Warren Knight
Title
Cfo
Phone
(301) 217-5411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

821 Fieldcrest Rd
Cambridge, MD 21613-9423

Mailing address

821 Fieldcrest Rd
Cambridge, MD 21613-9423
Phone (410) 221-0288

Other identifiers 1

IdentifierTypeStateIssuer
414476700MedicaidMD

Other names 1

  • POTOMAC RIDGE BEHAVIORAL HEALTH SYSTEM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Potomac Ridge Behavioral Health Es15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1003074980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 FIELDCREST RD",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216139423",
            "telephone_number": "410-221-0288",
            "fax_number": "410-228-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 FIELDCREST RD",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216139423",
            "telephone_number": "410-221-0288",
            "fax_number": "410-228-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC RIDGE BEHAVIORAL HEALTH ES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-217-5411"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414476700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POTOMAC RIDGE BEHAVIORAL HEALTH SYSTEM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.