NPIMap

Organization Active NPI

Sentinel Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1003597212
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SENTINEL HEALTHCARE INC
Practice address
576 Old Town Mall
Baltimore, MD 21202-4190
Phone
(202) 409-3687
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Mr. Abayomi Komolafe
Title
Ceo
Phone
(202) 409-3687

Specialties & licenses 1

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

Addresses

Primary practice location

576 Old Town Mall
Baltimore, MD 21202-4190

Mailing address

576 Old Town Mall
Baltimore, MD 21202-4190
Phone (202) 409-3687

National Provider Directory

National Provider Directory
Tax ID family
Sentinel Healthcare Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

576 Old Town Mall
Baltimore, MD 21202
Phone (202) 409-3687

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1003597212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 OLD TOWN MALL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024190",
            "telephone_number": "202-409-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 OLD TOWN MALL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024190",
            "telephone_number": "202-409-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTINEL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "KOMOLAFE",
        "authorized_official_first_name": "ABAYOMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-409-3687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2024; 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.