Organization Active NPI

Cornnerstone Center for Research & Development

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pikesville, MD
National Provider Identifier
1053786020
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
CORNNERSTONE CENTER FOR RESEARCH & DEVELOPMENT
Practice address
1517 Reisterstown Rd Ste 218
Pikesville, MD 21208-4325
Phone
(410) 415-1983
Fax
(180) 080-6312
NPI assigned
Dec 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Mr. Reginald Uchenna Amadi, RNNPI 1528450905
Title
Chief Executive
Phone
(443) 985-5795

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
Developmentally Disabled Services Day Training Agency 251C00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1517 Reisterstown Rd Ste 218
Pikesville, MD 21208-4325

Mailing address

1517 Reisterstown Road Suite 218
Reisterstown, MD 21208
Phone (410) 415-1983

Other identifiers 1

IdentifierTypeStateIssuer
423514200MedicaidMD

National Provider Directory

National Provider Directory

Locations

1517 Reisterstown Rd
Ste 218
Pikesville, MD 21208
Phone (410) 415-1983

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": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1053786020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 REISTERSTOWN ROAD SUITE 218",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-415-1983",
            "fax_number": "180-080-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 REISTERSTOWN RD STE 218",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084325",
            "telephone_number": "410-415-1983",
            "fax_number": "180-080-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNNERSTONE CENTER FOR RESEARCH & DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "AMADI",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "UCHENNA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "443-985-5795",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423514200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.