Organization Active NPI

Successful Resolutions

  • Point of Service
  • Baltimore, MD
National Provider Identifier
1114050564
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
10974207 Issued in MD
Legal business name
SUCCESSFUL RESOLUTIONS
Practice address
6716 Harford Rd
Baltimore, MD 21234-7708
Phone
(410) 426-4600
Fax
(410) 426-4500
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Mr. David Miles, BSW
Title
Executive Director
Phone
(410) 426-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 10974207 MD Primary

Addresses

Primary practice location

6716 Harford Rd
Baltimore, MD 21234-7708

Mailing address

3122 Northway Dr
Parkville, MD 21234-7825
Phone (410) 426-4600

Other identifiers 1

IdentifierTypeStateIssuer
714002900MedicaidMD

National Provider Directory

National Provider Directory

Locations

6716 Harford Rd
Baltimore, MD 21234
Phone (410) 426-4600

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1114050564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 NORTHWAY DR",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212347825",
            "telephone_number": "410-426-4600",
            "fax_number": "410-426-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212347708",
            "telephone_number": "410-426-4600",
            "fax_number": "410-426-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL RESOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-426-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MD",
            "license": "10974207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714002900",
            "state": "MD"
        }
    ],
    "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 Jul 31, 2007; 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.