Organization Active NPI

St Catherines Mental Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Owings Mills, MD
National Provider Identifier
1124853346
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
ST CATHERINES MENTAL HEALTH
Practice address
110 Painters Mill Rd Ste 105
Owings Mills, MD 21117-5251
Phone
(443) 280-2407
NPI assigned
Sep 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Mercy Ijoma
Title
Administrator
Phone
(410) 465-5451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084A0401X Primary

Addresses

Primary practice location

110 Painters Mill Rd Ste 105
Owings Mills, MD 21117-5251

Mailing address

6281 Loveknot PL
Columbia, MD 21045-4512

National Provider Directory

National Provider Directory

Locations

110 Painters Mill Rd
Ste 105
Owings Mills, MD 21117
Phone (443) 280-2407

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1124853346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6281 LOVEKNOT PL",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 105",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175251",
            "telephone_number": "443-280-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CATHERINES MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "IJOMA",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-465-5451"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.