NPIMap

Organization Active NPI

Gaudenzia, Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1104261585
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GAUDENZIA, INC
Practice address
4450 Park Heights Ave
Baltimore, MD 21215-6324
Phone
(443) 869-6298
Fax
(443) 869-6433
NPI assigned
Apr 30, 2013
Organization subpart
Yes
Parent organization
GAUDENZIA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Mrs. Andrea Person, M.ED
Title
Division Director
Phone
(410) 367-5501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Voluntary or Charitable Agency 251V00000X

Addresses

Primary practice location

4450 Park Heights Ave
Baltimore, MD 21215-6324

Mailing address

3643 Woodland Ave
Baltimore, MD 21215-5512
Phone (443) 869-6298

Other names 1

  • Gaudenzia Park Heights IOP/OP Other name

National Provider Directory

National Provider Directory
Tax ID family
Gaudenzia77 organizations share this tax ID, including this one
Part of
Gaudenzia

Organizations with this tax ID in the same state 14

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

View all 14

Locations

4450 Park Heights Ave
Baltimore, MD 21215
Phone (443) 869-6298

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1104261585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 WOODLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155512",
            "telephone_number": "443-869-6298",
            "fax_number": "443-849-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 PARK HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156324",
            "telephone_number": "443-869-6298",
            "fax_number": "443-869-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUDENZIA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GAUDENZIA, INC",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "PERSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DIVISION DIRECTOR",
        "authorized_official_telephone_number": "410-367-5501",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaudenzia Park Heights IOP/OP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 30, 2013; 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.