NPIMap

Organization Active NPI

Healthport

  • Community/Behavioral Health Agency
  • Princess Anne, MD
National Provider Identifier
1194435578
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEALTHPORT
Practice address
11559 Somerset Ave
Princess Anne, MD 21853-1067
Phone
(410) 341-3420
NPI assigned
Nov 28, 2022
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHPORTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Kristine R GarlitzNPI 1356608137
Title
Director of Outpatient Services
Phone
(410) 341-3420

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 NU Primary

Addresses

Primary practice location

11559 Somerset Ave
Princess Anne, MD 21853-1067

Mailing address

208 E Main St Ste C
Salisbury, MD 21801-4923

Other names 2

  • Lower Shore Clinic, Inc Former legal business name
  • Somerset VOC Other name

National Provider Directory

National Provider Directory
Tax ID family
Lower Shore Clinic Inc15 organizations share this tax ID, including this one
Part of
Lower Shore Clinic Inc

Other organizations with this tax ID 14

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

View all 14

Locations

208 E Main St
Salisbury, MD 21801
Phone (443) 783-5502

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": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1194435578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E MAIN ST STE C",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014923",
            "fax_number": "410-341-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11559 SOMERSET AVE",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531067",
            "telephone_number": "410-341-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPORT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHPORT",
        "enumeration_date": "2022-11-28",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "GARLITZ",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF OUTPATIENT SERVICES",
        "authorized_official_telephone_number": "410-341-3420"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lower Shore Clinic, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Somerset VOC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Princess Anne, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.