Citywide Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CITYWIDE BEHAVIORAL HEALTH LLC

Practice address

17 Warren Rd
Ste 1-a
Pikesville, MD 21208-5334

Phone

(410) 383-8300

NPI assigned

Nov 22, 2013

Last updated

Nov 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Johnson, CRNP

Title

Nurse Practitioner

Phone

(410) 274-8388

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1225468507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WARREN ROAD",
            "address_2": "STE 1-A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-383-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WARREN RD",
            "address_2": "STE 1-A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085334",
            "telephone_number": "410-383-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYWIDE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-274-8388",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Chukwuka-Eze
• Nicole Cimiluca
• Diego Cintron-de Leon
• Julia Cirincione
• Citywide Behavioral Health
• Citywide Community Resources Corporation
• Citywide Health Corporation (Citywide Behavioral Health)
• Citywide Health Corporation (Citywide Behavioral Health - Omhc)
• Marlene Claborn
• Benjamin Eugene Clark

• Psychiatric/Mental Health Nurse Practitioner in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.