Grassroots Crisis Intervention Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRASSROOTS CRISIS INTERVENTION CENTER, INC.

Practice address

8990 Old Annapolis Rd Ste a
Columbia, MD 21045-2182

Phone

(410) 531-6677

NPI assigned

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mariana Izraelson, LCADC

Title

Executive Director

Phone

(410) 531-6006

Specialties & licenses 1

Addresses

Tax ID family

Grassroots Crisis Intervention Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Grassroots Crisis Intervention Center

  • Community/Behavioral Health Agency
  • Columbia, MD
  • NPI 1447850656
  NPD tax ID
• Grassroots Crisis Intervention Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, MD
  • NPI 1952154213
  NPD tax ID

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1003657040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 FREETOWN RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444137",
            "telephone_number": "410-531-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8990 OLD ANNAPOLIS RD STE A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452182",
            "telephone_number": "410-531-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASSROOTS CRISIS INTERVENTION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "IZRAELSON",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-531-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yun Grant
• Allisyn Grantham
• Alaina Morgan Grassa
• Grassroots Crisis Intervention Center
• Grassroots Crisis Intervention Center
• Angela Graves
• Candice Nicole Graves
• Alleyah Gray
• Ashley Gray, RN
• Brandy Kuereine Gray, M.ED., B.C.B.A., L.B

• Community/Behavioral Health Agency in Columbia, MD
• Providers in Columbia, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.