Active NPI
Port Recovery, Inc.
- Community/Behavioral Health Agency
- Nottingham, MD
National Provider Identifier
1043623465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PORT RECOVERY, INC.
- Practice address
- 8615 Ridgelys Choice Dr Ste 205
Nottingham, MD 21236-3028 - Phone
- (443) 869-4909
- Fax
- (443) 869-4928
- NPI assigned
- Jun 3, 2014
- Last updated
- Jan 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Finley
- Title
- Program Director
- Phone
- (443) 869-4909
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
8615 Ridgelys Choice Dr Ste 205
Nottingham, MD 21236-3028
Mailing address
8615 Ridgelys Choice Dr Ste 205
Nottingham, MD 21236-3028
Phone (443) 869-4909
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1043623465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8615 RIDGELYS CHOICE DR STE 205",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212363028",
"telephone_number": "443-869-4909",
"fax_number": "410-534-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8615 RIDGELYS CHOICE DR STE 205",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212363028",
"telephone_number": "443-869-4909",
"fax_number": "443-869-4928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORT RECOVERY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-03",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A",
"authorized_official_last_name": "FINLEY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "443-869-4909"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.