Baltimore Center for Psychotherapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BALTIMORE CENTER FOR PSYCHOTHERAPY LLC

Practice address

623 W 34TH St Ste 105
Baltimore, MD 21211-2658

Phone

(443) 873-0635

NPI assigned

Sep 1, 2022

Organization subpart

No

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

Authorized official

Name

Kathleen Fanone, LCSW-C

Title

Co-Director

Phone

(240) 412-8880

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Steven Jakobovic, LMSW

  • Social Worker
  • Baltimore, MD
  • NPI 1750113734
  NPD

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1033839667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 BOLTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174323",
            "telephone_number": "240-412-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W 34TH ST STE 105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112658",
            "telephone_number": "443-873-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE CENTER FOR PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "FANONE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "240-412-8880",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.baltimorecenterforpsychotherapy.com",
            "affiliation": "N",
            "address_1": "623 W 34th St Ste 105",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212112658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.