Associated Catholic Charities
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Dundalk, MD
NPI 1043579923 · NPPES record last updated Jan 3, 2020
Key facts
- NPI
- 1043579923
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- ASSOCIATED CATHOLIC CHARITIES
- Practice address
- 2 N Dundalk Ave
Dundalk, MD 21222-4221 - Phone
- (667) 600-3681
- NPI assigned
- May 11, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Gloria Reeves
- Title
- A/R and Billing Manager
- Phone
- (667) 600-2249
Other NPIs on the same Medicare enrollment 13
Corporate family (same tax ID) 15
Practitioners 3
-
Amie R Elliott, LCSW-C
-
Sarah S Thayil, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170703001268 | MD | Part B Supplier - Clinic/Group Practice | 8527101351 |
Receives reassigned benefits from 49 practitioners 13 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Crownsville, MD; Ellicott City, MD; Cumberland, MD; Dundalk, MD; Frederick, MD; Frostburg, MD; Halethorpe, MD; Harwood, MD… |
National Provider Directory
- Tax ID family
- Associated Catholic Charities Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
2 N Dundalk Ave
Dundalk, MD 21222-4221
Mailing address
2300 Dulaney Valley Rd
Timonium, MD 21093-2739
Phone (667) 600-2249
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421154500 | Medicaid | MD |
Other names
- Villa Maira Behavioral Health at Dundalk OMHC
- Villa Maria Behavioral Health Services of Baltimore County - Dundalk
Other providers in Dundalk, MD
- Alyssa Marie Andrews
- Caren Beth Appel
- Arise Behavioral Health LLC
- Arundel Pain Associates LLC
- Ascent Solutions Maryland, LLC
- Associated Catholic Charities, Inc
- Associated Catholic Charities, Inc.
- Associated Catholic Charities, Inc.
- Ati Holding LLC
- Ats of Cecil County,Inc.
All providers in Dundalk, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.