Active NPI
Connections That Matter Inc.
- Community/Behavioral Health Agency
- Baltimore, MD
National Provider Identifier
1093227696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CONNECTIONS THAT MATTER INC.
- Practice address
- 100 International Dr FL 23
Baltimore, MD 21202 - Phone
- (443) 759-3566
- NPI assigned
- Nov 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ryan G Wilson, LCSW-C
- Title
- Chief Executive Officer
- Phone
- (443) 610-3676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
100 International Dr FL 23
Baltimore, MD 21202
Mailing address
12414 Rollys Ridge Ave
Upper Marlboro, MD 20774-1684
Phone (443) 610-3676
Other practice location 1
12414 Rollys Ridge Ave
Upper Marlboro, MD 20774-1684
Phone (443) 610-3676
National Provider Directory
National Provider DirectoryLocations
300 W Pratt St
Ste 400
Baltimore, MD 21201
Phone (410) 814-7684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527638400000",
"number": "1093227696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12414 ROLLYS RIDGE AVE",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207741684",
"telephone_number": "443-610-3676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 INTERNATIONAL DR FL 23",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21202",
"telephone_number": "443-759-3566"
}
],
"practiceLocations": [
{
"address_1": "12414 Rollys Ridge Ave",
"address_purpose": "LOCATION",
"city": "Upper Marlboro",
"state": "MD",
"postal_code": "207741684",
"country_code": "US",
"telephone_number": "443-610-3676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CONNECTIONS THAT MATTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-04",
"last_updated": "2018-05-30",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "443-610-3676",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.