NPIMap

Organization Active NPI

Bergand Group

  • Adult Mental Health Clinic/Center
  • Fallston, MD
National Provider Identifier
1184119448
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BERGAND GROUP
Practice address
1803 Harford Rd
Fallston, MD 21047-2501
Phone
(443) 299-6766
NPI assigned
Jun 28, 2018
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BERGAND GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Benjamin Cox
Title
Executive
Phone
(443) 299-6766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

1803 Harford Rd
Fallston, MD 21047-2501

Mailing address

1803 Harford Rd
Fallston, MD 21047-2501
Phone (443) 299-6766

Other identifiers 1

IdentifierTypeStateIssuer
379007001MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
The Bergand Group LLC4 organizations share this tax ID, including this one
Part of
The Bergand Group LLC

Other organizations with this tax ID 3

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

Locations

1803 Harford Rd
Fallston, MD 21047
Phone (410) 853-7691

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1184119448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 HARFORD RD",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472501",
            "telephone_number": "443-299-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 HARFORD RD",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472501",
            "telephone_number": "443-299-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGAND GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERGAND GROUP",
        "enumeration_date": "2018-06-28",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "443-299-6766"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379007001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallston, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.