NPIMap

Organization Active NPI

Dynamic Health System

  • Mental Illness Community Based Residential Treatment Facility
  • Baltimore, MD
National Provider Identifier
1134722218
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
DYNAMIC HEALTH SYSTEM
Practice address
2628 Garrett Ave
Baltimore, MD 21218-4834
Phone
(410) 708-2598
NPI assigned
Nov 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Ahmed Olayinka Anibaba
Title
Ceo
Phone
(443) 708-2598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2628 Garrett Ave
Baltimore, MD 21218-4834

Mailing address

200 Toddson LN
Owings Mills, MD 21117-5053
Phone (410) 598-2219

National Provider Directory

National Provider Directory
Tax ID family
Dynamic Health System4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1134722218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TODDSON LN",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175053",
            "telephone_number": "410-598-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 GARRETT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184834",
            "telephone_number": "410-708-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "ANIBABA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "OLAYINKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-708-2598"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 3, 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.