Organization Active NPI

Health Concepts Beacon Health

  • Methadone Clinic
  • Baltimore, MD
National Provider Identifier
1053208751
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
HEALTH CONCEPTS BEACON HEALTH
Practice address
1101 W Pratt Street
Suites 102, 103, 303
Baltimore, MD 21223-2693
Phone
(443) 466-7500
NPI assigned
Jun 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Tynisha Kadiri, PMHNPNPI 1508342817
Title
Ceo/Executive Director
Phone
(443) 466-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

1101 W Pratt Street
Suites 102, 103, 303
Baltimore, MD 21223-2693

Mailing address

1101 W Pratt Street
Suites 102, 103, 303
Baltimore, MD 21223-2693
Phone (443) 466-7500

National Provider Directory

National Provider Directory
Tax ID family
Health Concepts Beacon Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1101 W Pratt St
#102
Baltimore, MD 21223

1101 W Pratt St
Ste 303
Baltimore, MD 21223
Phone (443) 466-7500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1053208751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W PRATT STREET",
            "address_2": "SUITES 102, 103, 303",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232693",
            "telephone_number": "443-466-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W PRATT STREET",
            "address_2": "SUITES 102, 103, 303",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232693",
            "telephone_number": "443-466-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CONCEPTS BEACON HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "KADIRI",
        "authorized_official_first_name": "TYNISHA",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-466-7500",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 30, 2026; 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.