Active NPI
Health Concepts Beacon Health
- Methadone Clinic
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tynisha Kadiri, PMHNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Baltimore, MD
- NPI 1427989979
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Govans, MD
- NPI 1508342817
Student in an Organized Health Care Education/Training Program
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.