NPIMap

Organization Active NPI

Respire Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Severna Park, MD
National Provider Identifier
1124634241
Registry record updated Oct 12, 2020
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
RESPIRE BEHAVIORAL HEALTH
Practice address
479 Jumpers Hole Rd Ste 306
Severna Park, MD 21146-1751
Phone
(410) 987-1036
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Dr. Syretta R James, PHD, ABPPNPI 1245497296
Title
Chief Clinical Officer
Phone
(410) 987-1036

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

479 Jumpers Hole Rd Ste 306
Severna Park, MD 21146-1751

Mailing address

112 W Pennsylvania Ave Ste 100
Bel Air, MD 21014-3663
Phone (410) 987-1036

Other practice location 1

112 W Pennsylvania Ave Ste 100
Bel Air, MD 21014-3663
Phone (410) 987-1036

Other names 1

  • Respire Doing business as

National Provider Directory

National Provider Directory

Locations

479 Jumpers Hole Rd
Ste 306
Severna Park, MD 21146
Phone (410) 544-6850

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": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1124634241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W PENNSYLVANIA AVE STE 100",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143663",
            "telephone_number": "410-987-1036",
            "fax_number": "888-224-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 JUMPERS HOLE RD STE 306",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461751",
            "telephone_number": "410-987-1036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 W Pennsylvania Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210143663",
            "country_code": "US",
            "telephone_number": "410-987-1036",
            "fax_number": "888-224-0984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESPIRE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SYRETTA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "410-987-1036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, ABPP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Respire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.