On the Flip Side, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

4221133 Issued in MD

Legal business name

ON THE FLIP SIDE, INC.

Practice address

3739 Wilkens Ave
Baltimore, MD 21229-5035

Phone

(410) 831-2138

NPI assigned

Mar 2, 2017

Organization subpart

No

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

Authorized official

Name

Miss Keah Crosby, LCSW-C, CCM

Title

Ceo

Phone

(410) 831-2138

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1104366640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32633",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212822633",
            "telephone_number": "410-831-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 WILKENS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295035",
            "telephone_number": "410-831-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON THE FLIP SIDE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "KEAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-831-2138",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW-C, CCM"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MD",
            "license": "16681",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MD",
            "license": "4221133",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "16681",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Case Management Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.