Organization Active NPI

Gratitude Behavioral Health LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cambridge, MD
National Provider Identifier
1144019936
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
GRATITUDE BEHAVIORAL HEALTH LLC
Practice address
417 Academy St
Cambridge, MD 21613-1958
Phone
(410) 924-5520
Fax
(410) 770-4440
NPI assigned
May 6, 2025
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Michael L Rissolo
Title
Director / Ceo
Phone
(410) 924-4513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

417 Academy St
Cambridge, MD 21613-1958

Mailing address

600 Dover Rd Ste 107
Easton, MD 21601-3846
Phone (410) 770-4446

National Provider Directory

National Provider Directory
Tax ID family
Gratitude Behavioral Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

417 Academy St
Cambridge, MD 21613
Phone (410) 228-2474

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1144019936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DOVER RD STE 107",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013846",
            "telephone_number": "410-770-4446",
            "fax_number": "410-770-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 ACADEMY ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131958",
            "telephone_number": "410-924-5520",
            "fax_number": "410-770-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATITUDE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "RISSOLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR / CEO",
        "authorized_official_telephone_number": "410-924-4513"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.