Active NPI
Person-Centered Health Group Inc
- Psychiatric Residential Treatment Facility
- Baltimore, MD
National Provider Identifier
1104591205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- PERSON-CENTERED HEALTH GROUP INC
- Practice address
- 1001 Pine Heights Ave Ste 201
Baltimore, MD 21229-5284 - Phone
- (240) 425-7465
- Fax
- (443) 438-3753
- NPI assigned
- Aug 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Akinyemi Taiwo Jelenke
- Title
- Ceo
- Phone
- (240) 425-7465
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
1001 Pine Heights Ave Ste 201
Baltimore, MD 21229-5284
Mailing address
1001 Pine Heights Ave Ste 201
Baltimore, MD 21229-5284
Phone (240) 425-7465
National Provider Directory
National Provider Directory- Tax ID family
- Person-Centered Health Group Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Residential Treatment Facility
- Baltimore, MD
- NPI 1174290027
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1881361731
Locations
1001 Pine Heights Ave
Ste 201
Baltimore, MD 21229
Phone (240) 425-7465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628640000000",
"number": "1104591205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 PINE HEIGHTS AVE STE 201",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295284",
"telephone_number": "240-425-7465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PINE HEIGHTS AVE STE 201",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295284",
"telephone_number": "240-425-7465",
"fax_number": "443-438-3753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSON-CENTERED HEALTH GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-11",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A",
"authorized_official_last_name": "JELENKE",
"authorized_official_first_name": "AKINYEMI",
"authorized_official_middle_name": "TAIWO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "240-425-7465",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.