Samora MTL Health Services Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SAMORA MTL HEALTH SERVICES INC

Practice address

110 E Patapsco Ave
Baltimore, MD 21225-2693

Phone

(301) 633-1676

NPI assigned

Jun 30, 2022

Last updated

Jun 30, 2022By 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

Adeleke Yusuf

Title

Manager

Phone

(301) 633-1676

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• n/a Other name

Electronic endpoints 1

Tax ID family

Samora MTL Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Samora MTL Health Services Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1538891239
  NPD tax ID

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1235861931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14204 WILD WOOD CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748580",
            "telephone_number": "301-633-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E PATAPSCO AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212252693",
            "telephone_number": "301-633-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMORA MTL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "ADELEKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-633-1676"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3016331676",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "110 E Patapsco Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212252693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ron Samet, MD
• Alexandra Theo Samets, LCSW-C
• Azadeh Sami, D.O.
• Samir F. Shureih M.D. P.a.
• Omima Maher Samman, RD
• Samora MTL Health Services Inc
• Mary Anne Sampaio de Melo, DDS, MS, PHD
• Natalia Sampaio Moura, MD
• Dawnyelle Sample, CPHT
• James Ronald Sampognaro

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.