Peace of Mind Support Services Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PEACE OF MIND SUPPORT SERVICES INC.

Practice address

10544 Braddock Run Rd
Middle River, MD 21220-1927

Phone

(443) 653-0441

NPI assigned

May 9, 2019

Last updated

May 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Doneesha Lighty

Title

Executive Director

Phone

(443) 653-0441

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1104481621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 CONCOURSE CIR STE 103-444",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202995",
            "telephone_number": "443-653-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10544 BRADDOCK RUN RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212201927",
            "telephone_number": "443-653-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND SUPPORT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "LIGHTY",
        "authorized_official_first_name": "DONEESHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-653-0441"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pomreferrals@gmail.com",
            "affiliation": "N",
            "address_1": "10544 Braddock Run Rd",
            "city": "Middle River",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212201927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marissa Pascascio-Glenn, BCBA, LBA
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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Middle River, MD
• Providers in Middle River, MD by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.