NPIMap

Organization Active NPI

TDJ Services LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1174024756
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
17112 Issued in MD
Legal business name
TDJ SERVICES LLC
Practice address
5105 Hillburn Ave
Baltimore, MD 21206-4130
Phone
(443) 271-5021
NPI assigned
Feb 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Tymeka Dawan Jones, LCSW-CNPI 1053731240
Title
Owner
Phone
(443) 271-5021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 17112 MD Primary

Addresses

Primary practice location

5105 Hillburn Ave
Baltimore, MD 21206-4130

Mailing address

5105 Hillburn Ave
Baltimore, MD 21206-4130
Phone (443) 271-5021

Other names 1

  • TDJ Services Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1174024756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 HILLBURN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064130",
            "telephone_number": "443-271-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 HILLBURN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064130",
            "telephone_number": "443-271-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDJ SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TYMEKA",
        "authorized_official_middle_name": "DAWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-271-5021",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "17112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TDJ 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 Feb 28, 2018; 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.