NPIMap

Organization Active NPI

Archway Station, Inc.

  • Adult Mental Health Clinic/Center
  • Oakland, MD
National Provider Identifier
1134955859
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ARCHWAY STATION, INC.
Practice address
20 E Oak St
Oakland, MD 21550-1802
Phone
(301) 334-9126
NPI assigned
Sep 10, 2024
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Stephanie Moore
Title
Behavioral Health Program Director
Phone
(301) 777-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

20 E Oak St
Oakland, MD 21550-1802

Mailing address

45 Queen St
Cumberland, MD 21502-4543
Phone (301) 777-1700

National Provider Directory

National Provider Directory
Tax ID family
Archway Station Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

20 E Oak St
Oakland, MD 21550
Phone (301) 224-9126

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1134955859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 QUEEN ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024543",
            "telephone_number": "301-777-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E OAK ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501802",
            "telephone_number": "301-334-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHWAY STATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "301-777-1700"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.