NPIMap

Organization Active NPI

Citywide Behavioral Health

  • Psychiatric Residential Treatment Facility
  • Baltimore, MD
National Provider Identifier
1033723556
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
CITYWIDE BEHAVIORAL HEALTH
Practice address
1516 W Fairmount Ave
Baltimore, MD 21223-1780
Phone
(410) 929-2314
Fax
(410) 484-8107
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Pamela Johnson, CRNPNPI 1023252129
Title
Owner Ceo
Phone
(410) 274-8388

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
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

1516 W Fairmount Ave
Baltimore, MD 21223-1780

Mailing address

17 Warren Rd
Pikesville, MD 21208-5334
Phone (410) 929-2314

National Provider Directory

National Provider Directory
Tax ID family
Citywide Behavioral Health11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

17 Warren Rd
Pikesville, MD 21208
Phone (410) 274-8388

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": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1033723556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WARREN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085334",
            "telephone_number": "410-929-2314",
            "fax_number": "410-484-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 W FAIRMOUNT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231780",
            "telephone_number": "410-929-2314",
            "fax_number": "410-484-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYWIDE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "410-274-8388",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "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 Nov 11, 2020; 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.