NPIMap

Organization Active NPI

Health Network of Maryland

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1164813978
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
03614 Issued in MD
Legal business name
HEALTH NETWORK OF MARYLAND
Practice address
2501 Hal Cir
Baltimore, MD 21209-2621
Phone
(410) 977-9555
Fax
(443) 388-9535
NPI assigned
Feb 16, 2015
Last updated
Feb 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Dr. Howard Eisenberg, PHD LCSWCNPI 1548445067
Title
President
Phone
(410) 977-9555

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
Community/Behavioral Health Agency 251S00000X 03614 MD Primary

Addresses

Primary practice location

2501 Hal Cir
Baltimore, MD 21209-2621

Mailing address

2501 Hal Cir
Baltimore, MD 21209-2621
Phone (410) 977-9555

Other identifiers 1

IdentifierTypeStateIssuer
511501900MedicaidMD

National Provider Directory

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": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1164813978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 HAL CIR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092621",
            "telephone_number": "410-977-9555",
            "fax_number": "443-388-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 HAL CIR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092621",
            "telephone_number": "410-977-9555",
            "fax_number": "443-388-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH NETWORK OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-977-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LCSWC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "03614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "511501900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 16, 2015; 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.