NPIMap

Organization Active NPI

Helping Our Youth Achieve Psychiatric Rehabilitation Program

  • Children's Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1043784184
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
HELPING OUR YOUTH ACHIEVE PSYCHIATRIC REHABILITATION PROGRAM
Practice address
5525 Belair Rd
Baltimore, MD 21206-3654
Phone
(443) 435-4771
NPI assigned
Jan 11, 2019
Last updated
Jan 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HELPING OUR YOUTH ACHIEVE PSYCHIATRIC REHABILITATION PROGRAMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Authorized official

Name
Paul Grant, MA
Title
Program Director
Phone
(443) 435-4771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU Primary

Addresses

Primary practice location

5525 Belair Rd
Baltimore, MD 21206-3654

Mailing address

5525 Belair Rd
Baltimore, MD 21206-3654
Phone (443) 435-4771

Other identifiers 1

IdentifierTypeStateIssuer
1477064251MedicaidMD

Other names 1

  • Hoya substance Abuse Other name

National Provider Directory

National Provider Directory
Tax ID family
Helping Our Youth Achieve Case Management5 organizations share this tax ID, including this one
Part of
Helping Our Youth Achieve Case Management

Other organizations with this tax ID 4

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": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1043784184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063654",
            "telephone_number": "443-435-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063654",
            "telephone_number": "443-435-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELPING OUR YOUTH ACHIEVE PSYCHIATRIC REHABILITATION PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HELPING OUR YOUTH ACHIEVE PSYCHIATRIC REHABILITATION PROGRAM",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-435-4771",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477064251",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoya substance Abuse",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.