NPIMap

Organization Active NPI

Peaceful Minds Residential Services

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1215548573
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PEACEFUL MINDS RESIDENTIAL SERVICES
Practice address
3704 S Hanover St Unit 2A2B
Baltimore, MD 21225-1773
Phone
(443) 418-7064
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Mrs. Janee Jeremi Spencer, LMSW
Title
Owner
Phone
(443) 418-7064

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

3704 S Hanover St Unit 2A2B
Baltimore, MD 21225-1773

Mailing address

3704 S Hanover St
Baltimore, MD 21225-1773
Phone (443) 759-8601

Other practice location 1

2733 Ashland Ave
Baltimore, MD 21205-1734
Phone (443) 759-8601

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.peacefulmindshealthservices.com Other

National Provider Directory

National Provider Directory
Tax ID family
Peaceful Minds Residential Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

3704 S Hanover St
Baltimore, MD 21225
Phone (443) 759-8601

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1215548573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 S HANOVER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251773",
            "telephone_number": "443-759-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 S HANOVER ST UNIT 2A2B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251773",
            "telephone_number": "443-418-7064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2733 Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212051734",
            "country_code": "US",
            "telephone_number": "443-759-8601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACEFUL MINDS RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "JANEE",
        "authorized_official_middle_name": "JEREMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-418-7064",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.peacefulmindshealthservices.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "www.peacefulmindshealthservices.com",
            "address_1": "3704 S Hanover St Unit 2A2B",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212251773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 7, 2020; 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.