NPIMap

Organization Active NPI

Associated Catholic Charities, Inc.

Doing business as Villa Maria School

  • Adolescent and Children Mental Health Clinic/Center
  • Timonium, MD
National Provider Identifier
1083830541
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ASSOCIATED CATHOLIC CHARITIES, INC.
Doing business as
Villa Maria School
Practice address
2300A Dulaney Valley Rd
Timonium, MD 21093-2705
Phone
(667) 600-3106
NPI assigned
Apr 17, 2007
Last updated
Jan 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

2300A Dulaney Valley Rd
Timonium, MD 21093-2705

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
541638800MedicaidMD

Other names 1

  • Villa Maria School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Francis X Gallagher Services62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

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

View all 20

Locations

2300 Dulaney Valley Rd
Ste A
Timonium, MD 21093
Phone (667) 600-3100

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1083830541",
    "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": "2300A DULANEY VALLEY RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932705",
            "telephone_number": "667-600-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED CATHOLIC CHARITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541638800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Maria School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Villa Maria School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.