NPIMap

Organization Active NPI

Baltimore Behavioral Health, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1104133925
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BALTIMORE BEHAVIORAL HEALTH, INC
Practice address
200 S Arlington Ave
Baltimore, MD 21223-2671
Phone
(410) 962-7180
Fax
(410) 962-7194
NPI assigned
Sep 1, 2010
Last updated
Sep 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Mr. Williams Hathaway
Title
Ceo
Phone
(410) 962-7180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

200 S Arlington Ave
Baltimore, MD 21223-2671

Mailing address

1101 West Pratt Street
Baltimore, MD 21223-2671
Phone (410) 962-7180

Other identifiers 1

IdentifierTypeStateIssuer
309900800MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Baltimore Behavioral Health Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 10

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": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1104133925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WEST PRATT STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232671",
            "telephone_number": "410-962-7180",
            "fax_number": "410-962-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ARLINGTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232671",
            "telephone_number": "410-962-7180",
            "fax_number": "410-962-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "WILLIAMS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-962-7180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309900800",
            "state": "MD"
        }
    ],
    "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 Sep 1, 2010; 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.