NPIMap

Organization Active NPI

Warwick Manor Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Salisbury, MD
National Provider Identifier
1083918940
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
SC1659 Issued in MD
Legal business name
WARWICK MANOR BEHAVIORAL HEALTH
Practice address
220 E Main St Ste a
Salisbury, MD 21801-5044
Phone
(410) 860-9600
NPI assigned
Jan 6, 2011
Last updated
Jan 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Tara Clendaniel, CSC-AD
Title
Counselor
Phone
(410) 860-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X SC1659 MD Primary

Addresses

Primary practice location

220 E Main St Ste a
Salisbury, MD 21801-5044

Mailing address

220 E Main St Ste a
Salisbury, MD 21801-5044

National Provider Directory

National Provider Directory
Tax ID family
Warwick Manor Behavioral Health Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

220 E Main St
Ste A
Salisbury, MD 21801
Phone (410) 860-9600

Practitioners & affiliated clinicians

Practitioners 4

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": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1083918940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E MAIN ST STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E MAIN ST STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015044",
            "telephone_number": "410-860-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARWICK MANOR BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "CLENDANIEL",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "410-860-9600",
        "authorized_official_credential": "CSC-AD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "SC1659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.