NPIMap

Organization Active NPI

Community Bridge Builders of Maryland LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1013424340
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH-2398 Issued in MD
Legal business name
COMMUNITY BRIDGE BUILDERS OF MARYLAND LLC
Practice address
5900 York Rd Ste 206
Baltimore, MD 21212-3098
Phone
(443) 885-9173
Fax
(443) 885-9174
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Authorized official

Name
Mr. Christopher Lloyd Matih Sr., MSW,LGSWNPI 1831562040
Title
Founder/Ceo
Phone
(443) 885-9173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH-2398 MD Primary

Addresses

Primary practice location

5900 York Rd Ste 206
Baltimore, MD 21212-3098

Mailing address

PO Box 66411
Baltimore, MD 21239-6411
Phone (443) 885-9173

National Provider Directory

National Provider Directory
Tax ID family
Community Bridge Builders of Maryland LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1013424340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66411",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212396411",
            "telephone_number": "443-885-9173",
            "fax_number": "443-885-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 YORK RD STE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123098",
            "telephone_number": "443-885-9173",
            "fax_number": "443-885-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BRIDGE BUILDERS OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "MATIH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "443-885-9173",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MSW,LGSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "MH-2398",
            "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 Jan 9, 2018; 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.