NPIMap

Organization Active NPI

Main Street Mobile Treatment Associates

  • Community/Behavioral Health Agency
  • Reisterstown, MD
National Provider Identifier
1194874867
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MAIN STREET MOBILE TREATMENT ASSOCIATES
Doing business as
MAIN STREET COMMUNITY MENTAL HEALTH CLINIC
Main Street Community Mental Health Center
Practice address
37 Main St
Reisterstown, MD 21136-1236
Phone
(410) 526-7882
Fax
(410) 526-9855
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Mrs. Pamala Sobol Ryan, RN
Title
Executive Director
Phone
(410) 526-7882

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X
Community/Behavioral Health Agency 251S00000X MD Primary

Addresses

Primary practice location

37 Main St
Reisterstown, MD 21136-1236

Mailing address

37 Main St
Reisterstown, MD 21136-1236
Phone (410) 526-7882

Other identifiers 1

IdentifierTypeStateIssuer
404353700MedicaidMD

Other names 2

  • MAIN STREET COMMUNITY MENTAL HEALTH CLINIC Doing business as
  • Main Street Community Mental Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Main Street Community Mental Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1194874867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MAIN ST",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361236",
            "telephone_number": "410-526-7882",
            "fax_number": "410-526-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MAIN ST",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361236",
            "telephone_number": "410-526-7882",
            "fax_number": "410-526-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET MOBILE TREATMENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "PAMALA",
        "authorized_official_middle_name": "SOBOL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-526-7882",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404353700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN STREET COMMUNITY MENTAL HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAIN STREET COMMUNITY MENTAL HEALTH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Main Street Community Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.