NPIMap

Organization Active NPI

Mt. Washington Pediatric Hospital Inc.

Doing business as Mt. Washington Pediatric Behavioral Health Group

  • Psychologist
  • Baltimore, MD
National Provider Identifier
1164173159
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MT. WASHINGTON PEDIATRIC HOSPITAL INC.
Doing business as
Mt. Washington Pediatric Behavioral Health Group
Practice address
1708 W Rogers Ave
Baltimore, MD 21209-4545
Phone
(410) 367-2222
Fax
(410) 578-5245
NPI assigned
Jan 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Mary Deborah Miller
Title
Chief Financial Officer
Phone
(410) 578-5163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1708 W Rogers Ave
Baltimore, MD 21209-4545

Mailing address

1708 W Rogers Ave
Baltimore, MD 21209-4545
Phone (410) 578-8600

Other names 1

  • Mt. Washington Pediatric Behavioral Health Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mt Washington Ped Hosp Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1164173159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 W ROGERS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094545",
            "telephone_number": "410-578-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 W ROGERS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094545",
            "telephone_number": "410-367-2222",
            "fax_number": "410-578-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. WASHINGTON PEDIATRIC HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DEBORAH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "410-578-5163"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Washington Pediatric Behavioral Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 12, 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.

Verify at the official NPI Registry.