Redesigning Minds, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REDESIGNING MINDS, LLC

Practice address

28 E Susquehanna Ave Ste 202
Towson, MD 21286-5218

Phone

(443) 882-0110

NPI assigned

Oct 17, 2018

Organization subpart

No

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

Authorized official

Name

Michael Wise Jr.

Title

Ceo

Phone

(443) 882-0110

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Redesigning Minds LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Redesigning Minds

  • Case Manager/Care Coordinator
  • Towson, MD
  • NPI 1619718780
  NPD tax ID
• Redesigning Minds, LLC

  • Community/Behavioral Health Agency
  • Towson, MD
  • NPI 1801367321
  NPD tax ID

Locations

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1104392117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 E SUSQUEHANNA AVE STE 202",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865218",
            "telephone_number": "443-882-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E SUSQUEHANNA AVE STE 202",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865218",
            "telephone_number": "443-882-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDESIGNING MINDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-882-0110",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH001233",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Red Canyon, LLC
• Lisa Redden
• Lydia Cornell Redding, PA-C
• Dorothy Reddy, O.T.
• Redesigning Minds
• Redesigning Minds, LLC
• Lauren Redmond
• Wendy S. Reed, PTA
• Reflective Therapeutic and Holistic Services LLC
• Reflective Therapeutic and Holistic Services LLC

• Community/Behavioral Health Agency in Towson, MD
• Providers in Towson, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.