NPIMap

Organization Active NPI

The Elysian Fields Optimum Wellness and Mental Health Group, LLC

  • Psychiatric Hospital
  • Baltimore, MD
National Provider Identifier
1235849159
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
THE ELYSIAN FIELDS OPTIMUM WELLNESS AND MENTAL HEALTH GROUP, LLC
Practice address
2222 N Howard St
Baltimore, MD 21218-5609
Phone
(410) 624-5037
NPI assigned
Dec 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Arthur Griffin
Title
Ceo
Phone
(410) 367-0708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

2222 N Howard St
Baltimore, MD 21218-5609

Mailing address

2222 N Howard St
Baltimore, MD 21218-5609
Phone (410) 624-5037

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL application Direct

National Provider Directory

National Provider Directory
Tax ID family
The Elysian Fields Optimum12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1235849159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N HOWARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185609",
            "telephone_number": "410-624-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N HOWARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185609",
            "telephone_number": "410-624-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELYSIAN FIELDS OPTIMUM WELLNESS AND MENTAL HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-367-0708"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "application",
            "affiliation": "N",
            "endpointDescription": "application",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2222 N Howard St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212185609",
            "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 Feb 10, 2023; 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.