NPIMap

Organization Active NPI

Cognitive Elevations Behavioral Health Services, LLC

  • Community/Behavioral Health Agency
  • Towson, MD
National Provider Identifier
1215660758
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COGNITIVE ELEVATIONS BEHAVIORAL HEALTH SERVICES, LLC
Practice address
40 W Chesapeake Ave Ste 605
Towson, MD 21204-4891
Phone
(443) 831-9800
NPI assigned
Jul 1, 2022
Last updated
Jul 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Tia Keels-Gaymon
Title
Ceo
Phone
(443) 831-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

40 W Chesapeake Ave Ste 605
Towson, MD 21204-4891

Mailing address

40 W Chesapeake Ave Ste 605
Towson, MD 21204-4891
Phone (443) 831-9800

National Provider Directory

National Provider Directory
Tax ID family
Cognitive Elevations Behavioral Health Services LLC3 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.

Locations

40 W Chesapeake Ave
Ste 605
Towson, MD 21204
Phone (443) 831-4983

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1215660758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W CHESAPEAKE AVE STE 605",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044891",
            "telephone_number": "443-831-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W CHESAPEAKE AVE STE 605",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044891",
            "telephone_number": "443-831-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE ELEVATIONS BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "KEELS-GAYMON",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-831-9800"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.