Active NPI
Taj Robinson
- Behavior Technician
- Belcamp, MD
National Provider Identifier
1134837941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1200 Creamery LN
Belcamp, MD 21017-1499 - Phone
- (443) 300-6362
- Fax
- (667) 400-6110
- NPI assigned
- Nov 10, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1200 Creamery LN
Belcamp, MD 21017-1499
Mailing address
1200 Creamery LN
Belcamp, MD 21017-1499
Phone (443) 300-6362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humanim Mental Health Services LLC | Behavior Technician | Current | Accepting new patients |
Locations
1200 Creamery Ln
Belcamp, MD 21017
Phone (443) 300-6362
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1134837941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CREAMERY LN",
"city": "BELCAMP",
"state": "MD",
"postal_code": "210171499",
"telephone_number": "443-300-6362",
"fax_number": "667-400-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CREAMERY LN",
"city": "BELCAMP",
"state": "MD",
"postal_code": "210171499",
"telephone_number": "443-300-6362",
"fax_number": "667-400-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "TAJ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-10",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belcamp, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.