NPIMap

Organization Active NPI

Warwick Manor Behavioral Health, Inc.

  • Substance Abuse Rehabilitation Facility
  • East New Market, MD
National Provider Identifier
1043369994
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
13087 Issued in MD
Legal business name
WARWICK MANOR BEHAVIORAL HEALTH, INC.
Practice address
3959 Baker Rd
East New Market, MD 21631-1435
Phone
(800) 344-6423
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Phyliss Johnson
Title
Director of Operations
Phone
(800) 344-6423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 13087 MD Primary

Addresses

Primary practice location

3959 Baker Rd
East New Market, MD 21631-1435

Mailing address

3680 Warwick Rd
East New Market, MD 21631-1420
Phone (180) 034-4642

National Provider Directory

National Provider Directory
Tax ID family
Warwick Manor Behavioral Health Inc11 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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043369994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 WARWICK RD",
            "city": "EAST NEW MARKET",
            "state": "MD",
            "postal_code": "216311420",
            "telephone_number": "180-034-4642",
            "fax_number": "410-943-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 BAKER RD",
            "city": "EAST NEW MARKET",
            "state": "MD",
            "postal_code": "216311435",
            "telephone_number": "800-344-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARWICK MANOR BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PHYLISS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "18003446423"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "13087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East New Market, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.