NPIMap

Organization Active NPI

Innovative Treatment Centers, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1134052012
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INNOVATIVE TREATMENT CENTERS, LLC
Practice address
110 Baughmans LN Ste 270
Frederick, MD 21702-4650
Phone
(443) 430-2998
NPI assigned
Jun 8, 2026
Organization subpart
Yes
Parent organization
INNOVATIVE TREATMENT CENTERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Travis A BairdNPI 1235548314
Title
Ceo
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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

110 Baughmans LN Ste 270
Frederick, MD 21702-4650

Mailing address

110 Baughmans LN Ste 270
Frederick, MD 21702-4650
Phone (443) 430-2998

National Provider Directory

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

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": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1134052012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BAUGHMANS LN STE 270",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024650",
            "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": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-430-2998"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "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 Jun 8, 2026; 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.