Organization Active NPI

Achieve Behavioral Health Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1255045407
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ACHIEVE BEHAVIORAL HEALTH SERVICES LLC
Practice address
3967 Hickory Ave
Baltimore, MD 21211-1822
Phone
(410) 599-2031
NPI assigned
Jan 12, 2023
Last updated
Jan 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Mr. Sam Poggi
Title
Ceo
Phone
(410) 599-2031

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary
Substance Abuse Rehabilitation Facility 324500000X NU

Addresses

Primary practice location

3967 Hickory Ave
Baltimore, MD 21211-1822

Mailing address

2012 S Tollgate Rd Ste 200
Bel Air, MD 21015-5902
Phone (410) 599-2031

National Provider Directory

National Provider Directory
Tax ID family
Achieve Behavioral Health Services LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1255045407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD STE 200",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155902",
            "telephone_number": "410-599-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3967 HICKORY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111822",
            "telephone_number": "410-599-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "POGGI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-599-2031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 12, 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.