NPIMap

Organization Active NPI

Trulife Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1194355362
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TRULIFE MENTAL HEALTH SERVICES
Practice address
2925 Lord Baltimore Dr Ste 200
Baltimore, MD 21244-2659
Phone
(410) 493-6453
NPI assigned
Jan 16, 2020
Organization subpart
Yes
Parent organization
TRULIFE MENTAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Alfred Ezekwesili
Title
Administrator
Phone
(410) 298-3431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2925 Lord Baltimore Dr Ste 200
Baltimore, MD 21244-2659

Mailing address

2925 Lord Baltimore Dr Ste 200
Baltimore, MD 21244-2659
Phone (410) 298-3431

National Provider Directory

National Provider Directory
Tax ID family
Trulife Mental Health Services2 organizations share this tax ID, including this one
Part of
Trulife Mental Health Services

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1194355362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 LORD BALTIMORE DR STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442659",
            "telephone_number": "410-298-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 LORD BALTIMORE DR STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442659",
            "telephone_number": "410-493-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRULIFE MENTAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRULIFE MENTAL HEALTH SERVICES",
        "enumeration_date": "2020-01-16",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "EZEKWESILI",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-298-3431"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 23, 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.