NPIMap

Organization Active NPI

Committed to Change, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, MD
National Provider Identifier
1093073744
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
D0056120 Issued in MD
Legal business name
COMMITTED TO CHANGE, PC
Practice address
8965 Guilford Rd
Suite 150
Columbia, MD 21046-2384
Phone
(410) 290-8800
Fax
(410) 290-8860
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Rajendra Lowtan, M.D.
Title
Medical Director
Phone
(410) 290-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X D0056120 MD Primary

Addresses

Primary practice location

8965 Guilford Rd
Suite 150
Columbia, MD 21046-2384

Mailing address

8965 Guilford Rd
Suite 150
Columbia, MD 21046-2384
Phone (410) 290-8800

Other identifiers 1

IdentifierTypeStateIssuer
4037251MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Committed to Changepc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

8965 Guilford Rd
Ste 150
Columbia, MD 21046
Phone (410) 290-8800

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1093073744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8965 GUILFORD RD",
            "address_2": "SUITE 150",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462384",
            "telephone_number": "410-290-8800",
            "fax_number": "410-290-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8965 GUILFORD RD",
            "address_2": "SUITE 150",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462384",
            "telephone_number": "410-290-8800",
            "fax_number": "410-290-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMITTED TO CHANGE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "LOWTAN",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-290-8800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "D0056120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4037251",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.