Gemini Treatment Center, LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

GEMINI TREATMENT CENTER, LLC

Practice address

705A E Patapsco Ave
Baltimore, MD 21225-1934

Phone

(443) 202-1685

NPI assigned

Feb 7, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Michael Johnson Sr.NPI 1285221333

Title

Ceo

Phone

(443) 202-1685

Specialties & licenses 1

Addresses

Tax ID family

Gemini Treatment Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Gemini Treatment Center, LLC

  • Clinic/Center
  • Baltimore, MD
  • NPI 1023737012
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Michael Johnson Sr.

  • Community/Behavioral Health Agency
  • Towson, MD
  • NPI 1285221333
  NPD Authorized official

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1104522424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705A E PATAPSCO AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251934",
            "telephone_number": "443-202-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705A E PATAPSCO AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251934",
            "telephone_number": "443-202-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMINI TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-202-1685",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Gelman, MD
• Elise Sara Gelwan, M.D.
• Charlotte Bettle Gemes, MD
• Gemikings Healthservices Inc
• Gemini Treatment Center, LLC
• Gemma Highlandtown Chiropractic
• Paul A. Gemma, D.C.
• Ashley B Gemon, CRNA, MSNA
• Gemstone Development LLC
• Richelle Antoynette Genco, CRNP

• Addiction Medicine (Family Medicine) Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Addiction Medicine (Family Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.