NPIMap

Organization Active NPI

Arundel Lodge, Inc

Doing business as Youth Services Partnership Arundel Lodge at the Stanton Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Annapolis, MD
National Provider Identifier
1144872409
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ARUNDEL LODGE, INC
Doing business as
Youth Services Partnership Arundel Lodge at the Stanton Center
Practice address
92 W Washington St
Annapolis, MD 21401-2432
Phone
(443) 433-5900
Fax
(410) 841-6045
NPI assigned
Jul 16, 2019
Last updated
Jul 16, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ARUNDEL LODGE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Cynthia GarmoeNPI 1285495150
Title
Human Resources/Credentialing
Phone
(443) 433-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

92 W Washington St
Annapolis, MD 21401-2432

Mailing address

2600 Solomons Island Rd
Edgewater, MD 21037-1102
Phone (443) 433-5900

Other identifiers 2

IdentifierTypeStateIssuer
414478300MedicaidMD
409776900MedicaidMD

Other names 1

  • Youth Services Partnership Arundel Lodge at the Stanton Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arundel Lodge Inc11 organizations share this tax ID, including this one
Part of
Arundel Lodge Inc

Other organizations with this tax ID 10

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, 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": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1144872409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SOLOMONS ISLAND RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371102",
            "telephone_number": "443-433-5900",
            "fax_number": "410-841-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 W WASHINGTON ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012432",
            "telephone_number": "443-433-5900",
            "fax_number": "410-841-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNDEL LODGE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARUNDEL LODGE, INC",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "GARMOE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "HUMAN RESOURCES/CREDENTIALING",
        "authorized_official_telephone_number": "443-433-5900"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414478300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409776900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth Services Partnership Arundel Lodge at the Stanton Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.