NPIMap

Organization Active NPI

Aspen Day Treatment, LLC

Doing business as Aspen Day Treatment

  • Adult Mental Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1023366796
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ASPEN DAY TREATMENT, LLC
Doing business as
Aspen Day Treatment
Practice address
1634 Sulphur Spring Rd
Baltimore, MD 21227-2539
Phone
(410) 242-0920
Fax
(410) 242-0924
NPI assigned
Aug 28, 2012
Last updated
Sep 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Dr. Jeffrey Lafferman, MDNPI 1396779385
Title
Ceo
Phone
(410) 242-0920

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
Adult Mental Health Clinic/Center 261QM0850X MD Primary

Addresses

Primary practice location

1634 Sulphur Spring Rd
Baltimore, MD 21227-2539

Mailing address

1634 Sulphur Spring Rd
Baltimore, MD 21227-2539
Phone (410) 242-0920

Other names 1

  • Aspen Day Treatment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140218000619 MD Part B Supplier - Clinic/Group Practice 8729160635 Receives reassigned benefits from 9 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

1634 Sulphur Spring Rd
Halethorpe, MD 21227
Phone (410) 242-0920

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1023366796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 SULPHUR SPRING RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272539",
            "telephone_number": "410-242-0920",
            "fax_number": "410-242-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 SULPHUR SPRING RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272539",
            "telephone_number": "410-242-0920",
            "fax_number": "410-242-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN DAY TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "LAFFERMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-242-0920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Day Treatment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspen Day Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.