Organization Active NPI

The Johns Hopkins Hospital

  • Adolescent and Children Mental Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1164593000
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
30-034 Issued in MD
Legal business name
THE JOHNS HOPKINS HOSPITAL
Practice address
901 N Broadway
Baltimore, MD 21205-1119
Phone
(410) 550-5919
Fax
(410) 550-7433
NPI assigned
Nov 13, 2006
Organization subpart
Yes
Parent organization
JOHNS HOPKINS HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
Mr. Ronald J Werthman
Title
Vice President, Treasurer, Cfo,JHHS
Phone
(410) 955-6552

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 30-034 MD
Adolescent and Children Mental Health Clinic/Center 261QM0855X 30-034 MD Primary

Addresses

Primary practice location

901 N Broadway
Baltimore, MD 21205-1119

Mailing address

P.O. Box 632051
Baltimore, MD 21263-2051
Phone (443) 997-0001

Other identifiers 1

IdentifierTypeStateIssuer
00065500MedicaidMD

Other names 1

  • Johns Hopkins Outpatient Off-Site Psychiatry Services Other name

National Provider Directory

National Provider Directory
Tax ID family
John Hopkins Lab Path37 organizations share this tax ID, including this one
Part of
John Hopkins Lab Path

Other organizations with this tax ID 36

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

View all 36

Locations

901 N Broadway
Baltimore, MD 21205
Phone (202) 643-3610

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1164593000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 632051",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212632051",
            "telephone_number": "443-997-0001",
            "fax_number": "443-997-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N BROADWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051119",
            "telephone_number": "410-550-5919",
            "fax_number": "410-550-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JOHNS HOPKINS HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNS HOPKINS HOSPITAL",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "WERTHMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT, TREASURER, CFO,JHHS",
        "authorized_official_telephone_number": "410-955-6552",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "30-034",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "30-034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00065500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johns Hopkins Outpatient Off-Site Psychiatry Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 10, 2010; 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.