Mercy Mental Healthcare Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MERCY MENTAL HEALTHCARE SERVICES, INC

Practice address

20 S Hilton St
Baltimore, MD 21229-3724

Phone

(410) 415-6505

Fax

(410) 415-6506

NPI assigned

Nov 5, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Omolara O AdeolaNPI 1841548401

Title

Ceo

Phone

(443) 677-7130

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Omolara O Adeola, RN

  • Registered Nurse
  • Owings Mills, MD
  • NPI 1841548401
  NPD Authorized official

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1063980464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S HILTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293724",
            "telephone_number": "410-415-6505",
            "fax_number": "410-415-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S HILTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293724",
            "telephone_number": "410-415-6505",
            "fax_number": "410-415-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MENTAL HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ADEOLA",
        "authorized_official_first_name": "OMOLARA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-677-7130",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH001341",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Medical Center
• Mercy Medical Center
• Mercy Medical Center Inc
• Mercy Medical Center, Inc.
• Mercy Medical Center, Inc.
• Mercy Transitional Care Services
• Mercy Villa Convent, Inc.
• Mazin Merdad
• Brooke Meredith
• David Buscher Meredith, MAC, DAC,DIPLAC, LAC

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

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