NPIMap

Organization Active NPI

Maryland Addictions & Psych Inc

  • Community/Behavioral Health Agency
  • Cambridge, MD
National Provider Identifier
1083810774
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
D0050266 Issued in MD
Legal business name
MARYLAND ADDICTIONS & PSYCH INC
Practice address
828 Airpax Rd
Suite 300 BLDG- B
Cambridge, MD 21613-6405
Phone
(410) 228-3929
Fax
(410) 228-3810
NPI assigned
Jun 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
M Lynn Clendaniel
Title
Billing Manager
Phone
(410) 228-3929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X D0050266 MD Primary

Addresses

Primary practice location

828 Airpax Rd
Suite 300 BLDG- B
Cambridge, MD 21613-6405

Mailing address

828 Airpax Rd
Suite 300 BLDG- B
Cambridge, MD 21613-6405
Phone (410) 228-3929

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083810774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 AIRPAX RD",
            "address_2": "SUITE 300 BLDG- B",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216136405",
            "telephone_number": "410-228-3929",
            "fax_number": "410-228-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 AIRPAX RD",
            "address_2": "SUITE 300 BLDG- B",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216136405",
            "telephone_number": "410-228-3929",
            "fax_number": "410-228-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND ADDICTIONS & PSYCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLENDANIEL",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-228-3929"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "D0050266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.