Active NPI
Anne Arundel County Department of Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glen Burnie, MD
National Provider Identifier
1023036126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH
- Practice address
- 122 Langley Rd N
Suite a
Glen Burnie, MD 21060-6539 - Phone
- (410) 222-6785
- Fax
- (410) 222-6888
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sandra L O'Neill, LCPC, NCC
- Title
- Program Manager
- Phone
- (410) 222-6785
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
122 Langley Rd N
Suite a
Glen Burnie, MD 21060-6539
Mailing address
122 Langley Rd N
Suite a
Glen Burnie, MD 21060-6539
Phone (410) 222-6785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265521700 | Medicaid | MD |
Other names 1
- Adolescent and Family Services-Mental Health
National Provider Directory
National Provider Directory- Tax ID family
- Adolsecent Family Svcsaddictions
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671148800000",
"number": "1023036126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 LANGLEY RD N",
"address_2": "SUITE A",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210606539",
"telephone_number": "410-222-6785",
"fax_number": "410-222-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 LANGLEY RD N",
"address_2": "SUITE A",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210606539",
"telephone_number": "410-222-6785",
"fax_number": "410-222-6888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A",
"authorized_official_last_name": "O'NEILL",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PROGRAM MANAGER",
"authorized_official_telephone_number": "410-222-6785",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCPC, NCC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265521700",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Adolescent and Family Services-Mental Health",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Adolescent and Family Services-Mental Health",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Glen Burnie, MD
- Anne Arundel Co Dept of HLTH
- Anne Arundel Co Dept of HLTH
- Anne Arundel Counseling Incorporated
- Anne Arundel Counseling, Inc.
- Anne Arundel County
- Anne Arundel County Dept of Health
- Anne Arundel County Dept of Health
- Anne Arundel County Dept. of Health
- Anne Arundel County Infants & Toddlers
- Anne Arundel Dermatology, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.