Nexus-Woodbourne Family Healing

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

NEXUS-WOODBOURNE FAMILY HEALING

Practice address

1301 Woodbourne Ave
Baltimore, MD 21239-3316

Phone

(410) 433-1000

Fax

(410) 435-2938

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Varble

Title

Corporate Controller

Phone

(763) 551-8640

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Tax ID family

Nexus-Woodbourne Family Healing3 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.

• Woodbourne Center

  • School Social Worker
  • Baltimore, MD
  • NPI 1659829398
  NPD tax ID
• Woodbourne School

  • Psychiatric Residential Treatment Facility
  • Baltimore, MD
  • NPI 1679923056
  NPD tax ID

Locations

Practitioners 1

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

• Jason Emejuru, M.D.

  • Child & Adolescent Psychiatry Physician
  • Lebanon, PA
  • NPI 1245506120
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1033149257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WOODBOURNE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393316",
            "telephone_number": "410-433-1000",
            "fax_number": "410-435-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WOODBOURNE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393316",
            "telephone_number": "410-433-1000",
            "fax_number": "410-435-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS-WOODBOURNE FAMILY HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "VARBLE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CORPORATE CONTROLLER",
        "authorized_official_telephone_number": "763-551-8640",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235395400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324502100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.nexusfamilyhealing.org",
            "affiliation": "N",
            "address_1": "1301 Woodbourne Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212393316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Next Horizons
• Next Level Family Services, LLC
• Next Step Recovery LLC
• Next Step Treatment Solutions, LLC
• Nextgen Diagnostic Lab, LLC
• Nariman Nezami, MD
• Chiuming NG Mei
• Alvin TSZ Hin NG, MD
• Chee Keong NG, MBBS
• Clement NG, PHARMD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.