NPIMap

Organization Active NPI

MPB Group Inc

  • Developmental Disabilities Clinic/Center
  • Columbia, MD
National Provider Identifier
1235666207
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
MPB GROUP INC
Practice address
5840 Banneker Rd Ste 270
Columbia, MD 21044-3462
Phone
(410) 730-2385
NPI assigned
May 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Magalie Brewer, PSY.D.
Title
Ceo
Phone
(410) 730-2385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X MD Primary

Addresses

Primary practice location

5840 Banneker Rd Ste 270
Columbia, MD 21044-3462

Mailing address

5840 Banneker Rd Ste 270
Columbia, MD 21044-3462
Phone (410) 730-2385

Other identifiers 1

IdentifierTypeStateIssuer
654700100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
MPB Group Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1235666207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 BANNEKER RD STE 270",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443462",
            "telephone_number": "410-730-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 BANNEKER RD STE 270",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443462",
            "telephone_number": "410-730-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPB GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "MAGALIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-730-2385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "654700100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.