NPIMap

Organization Active NPI

Associated Catholic Charities

Doing business as Villa Maria of Mountain Maryland

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cumberland, MD
National Provider Identifier
1063677326
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ASSOCIATED CATHOLIC CHARITIES
Doing business as
Villa Maria of Mountain Maryland
Practice address
308 Virginia Ave
Cumberland, MD 21502
Phone
(667) 600-2110
NPI assigned
Jul 25, 2008
Last updated
Jan 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Gloria Reeves
Title
A/R and Billing Manager
Phone
(667) 600-2249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

308 Virginia Ave
Cumberland, MD 21502

Mailing address

2300 Dulaney Valley Rd
Timonium, MD 21093-2739
Phone (667) 600-2249

Other practice location 1

517 E Oldtown Rd
Cumberland, MD 21502-3687
Phone (301) 777-8685

Other identifiers 2

IdentifierTypeStateIssuer
110171420MedicaidMD
110171419MedicaidMD

Other names 1

  • Villa Maria of Mountain Maryland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170703001268 MD Part B Supplier - Clinic/Group Practice 8527101351 Receives reassigned benefits from 49 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Crownsville, MD; Ellicott City, MD; Cumberland, MD; Dundalk, MD; Frederick, MD; Frostburg, MD; Halethorpe, MD; Harwood, MD…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Associated Catholic Cha62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1063677326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 DULANEY VALLEY RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932739",
            "telephone_number": "667-600-2249",
            "fax_number": "667-600-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 VIRGINIA AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "667-600-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 E Oldtown Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215023687",
            "country_code": "US",
            "telephone_number": "301-777-8685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSOCIATED CATHOLIC CHARITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "A/R AND BILLING MANAGER",
        "authorized_official_telephone_number": "667-600-2249"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110171420",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110171419",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Maria of Mountain Maryland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Villa Maria of Mountain Maryland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.