NPIMap

Organization Active NPI

Baltimore County Maryland

Doing business as Department Of Health Audiology - Liberty

  • Hearing and Speech Clinic/Center
  • Randallstown, MD
National Provider Identifier
1114593977
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
BALTIMORE COUNTY MARYLAND
Doing business as
Department Of Health Audiology - Liberty
Practice address
3525 Resource Dr
Randallstown, MD 21133-4733
Phone
(410) 887-0600
NPI assigned
Jun 2, 2021
Last updated
Jun 2, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
BALTIMORE COUNTY MARYLANDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Jennifer Causey
Title
Account Clerk 2
Phone
(410) 853-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU Primary

Addresses

Primary practice location

3525 Resource Dr
Randallstown, MD 21133-4733

Mailing address

6401 York Road
3Rd Floor
Towson, MD 21212
Phone (410) 853-8989

Other names 1

  • Department Of Health Audiology - Liberty Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwestern Comm MNTL69 organizations share this tax ID, including this one
Part of
Northwestern Comm MNTL

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Locations

6401 York Rd
Ste 3
Baltimore, MD 21212
Phone (410) 887-2077

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1114593977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 YORK ROAD",
            "address_2": "3RD FLOOR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21212",
            "telephone_number": "410-853-8989",
            "fax_number": "410-832-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 RESOURCE DR",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334733",
            "telephone_number": "410-887-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE COUNTY MARYLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BALTIMORE COUNTY MARYLAND",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "CAUSEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ACCOUNT CLERK 2",
        "authorized_official_telephone_number": "410-853-8989"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department Of Health Audiology - Liberty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.