NPIMap

Organization Active NPI

Innovative Treatment Centers, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
National Provider Identifier
1104756543
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INNOVATIVE TREATMENT CENTERS, LLC
Practice address
110 Baughmans LN Ste 270
Frederick, MD 21702-4650
Phone
(443) 430-2998
NPI assigned
May 19, 2026
Organization subpart
Yes
Parent organization
INNOVATIVE TREATMENT CENTERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Travis A Baird, PMHNP, CRNPNPI 1235548314
Title
Ceo, Owner
Phone
(443) 430-2998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

110 Baughmans LN Ste 270
Frederick, MD 21702-4650

Mailing address

325 Hospital Dr Ste 106
Glen Burnie, MD 21061-5806
Phone (443) 430-2998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230225000056 MD Part B Supplier - Clinic/Group Practice 1052784840 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glen Burnie, MD; Frederick, MD

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Innovative Treatment Centers LLC5 organizations share this tax ID, including this one
Part of
Innovative Treatment Centers LLC

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1104756543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR STE 106",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615806",
            "telephone_number": "443-430-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BAUGHMANS LN STE 270",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024650",
            "telephone_number": "443-430-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE TREATMENT CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE TREATMENT CENTERS, LLC",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "443-430-2998",
        "authorized_official_credential": "PMHNP, CRNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.