Organization Active NPI

Calvert County Health Department

Doing business as Calvert County Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Lusby, MD
National Provider Identifier
1043290448
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
12083 Issued in MD
Legal business name
CALVERT COUNTY HEALTH DEPARTMENT
Doing business as
Calvert County Behavioral Health
Practice address
11845 HG Trueman Rd
Lusby, MD 20657-2855
Phone
(410) 394-0681
Fax
(410) 326-1860
NPI assigned
Jan 20, 2006
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CALVERT COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Mrs. Doris J. McDonald, MA, LCADC, LCDCNPI 1245421601
Title
Behavioral Health Director
Phone
(410) 535-3079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 12083 MD Primary

Addresses

Primary practice location

11845 HG Trueman Rd
Lusby, MD 20657-2855

Mailing address

P.O. Box 1158
Prince Frederick, MD 20678
Phone (410) 535-3079

Other names 1

  • Calvert County Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
State of Maryland21 organizations share this tax ID, including this one
Part of
State of Maryland

Other organizations with this tax ID 20

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

View all 20

Locations

20 Appeal Ln
Lusby, MD 20657
Phone (410) 394-0681

Practitioners & affiliated clinicians

Practitioners 1

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": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1043290448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1158",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-3079",
            "fax_number": "410-535-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11845 HG TRUEMAN RD",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206572855",
            "telephone_number": "410-394-0681",
            "fax_number": "410-326-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERT COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALVERT COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "410-535-3079",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCADC, LCDC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "12083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvert County Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lusby, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.