Organization Active NPI

Addis Consulting Inc.

  • Clinic/Center
  • Baltimore, MD
National Provider Identifier
1003329178
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ADDIS CONSULTING INC.
Practice address
11 E Mount Royal Ave # LL
Baltimore, MD 21202-2714
Phone
(443) 671-1414
Fax
(443) 671-1420
NPI assigned
Nov 13, 2017
Organization subpart
Yes
Parent organization
FRESH START COMPREHENSIVE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Authorized official

Name
Terri Fields
Title
Practice Manager
Phone
(443) 884-7521

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

11 E Mount Royal Ave # LL
Baltimore, MD 21202-2714

Mailing address

11 E Mount Royal Ave # LL
Baltimore, MD 21202-2714
Phone (443) 671-1414

Other names 1

  • Fresh Start Comprehensive Center Other name

National Provider Directory

National Provider Directory
Part of
Addis Consulting Inc

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1003329178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E MOUNT ROYAL AVE # LL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022714",
            "telephone_number": "443-671-1414",
            "fax_number": "443-671-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E MOUNT ROYAL AVE # LL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022714",
            "telephone_number": "443-671-1414",
            "fax_number": "443-671-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDIS CONSULTING INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESH START COMPREHENSIVE CENTER",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "443-884-7521"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Start Comprehensive Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.