NPIMap

Organization Active NPI

Mosaic Community Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Catonsville, MD
National Provider Identifier
1205594546
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MOSAIC COMMUNITY SERVICES, INC.
Practice address
27 Mellor Ave
Catonsville, MD 21228-5106
Phone
(410) 453-9553
Fax
(443) 612-1488
NPI assigned
Dec 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Jeffrey Richardson
Title
VP & Coo Community Services
Phone
(410) 453-9553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

27 Mellor Ave
Catonsville, MD 21228-5106

Mailing address

849 Fairmount Ave FL 5
Towson, MD 21286-2624
Phone (410) 382-8111

Other identifiers 1

IdentifierTypeStateIssuer
191209364OtherMDMD STATE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Mosaic Community Services Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1205594546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 FAIRMOUNT AVE FL 5",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862624",
            "telephone_number": "410-382-8111",
            "fax_number": "443-612-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MELLOR AVE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212285106",
            "telephone_number": "410-453-9553",
            "fax_number": "443-612-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "VP & COO COMMUNITY SERVICES",
        "authorized_official_telephone_number": "410-453-9553"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD STATE LICENSE",
            "identifier": "191209364",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.