NPIMap

Organization Active NPI

Glass Mental Health Foundation Inc

  • Methadone Clinic
  • Timonium, MD
National Provider Identifier
1255302774
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
GLASS MENTAL HEALTH FOUNDATION INC
Practice address
2 W Aylesbury Rd
Timonium, MD 21093-4101
Phone
(410) 561-9591
Fax
(410) 560-1082
NPI assigned
Feb 1, 2006
Organization subpart
Yes
Parent organization
GLASS MENTAL HEALTH FOUNDATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Bond Andrews
Title
Vice President, Revenue Cycle
Phone
(214) 379-3398

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 13110 MD
Clinic/Center 261Q00000X 905032 MD
Methadone Clinic 261QM2800X MD Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 905032 MD

Addresses

Primary practice location

2 W Aylesbury Rd
Timonium, MD 21093-4101

Mailing address

401 E Corporate Dr
Suite 220
Lewisville, TX 75057-6430
Phone (214) 379-3347

Other identifiers 2

IdentifierTypeStateIssuer
99241900MedicaidMD
099421900MedicaidMD

National Provider Directory

National Provider Directory
Part of
Glass Mental Health Foundation Inc

Locations

2 W Aylesbury Rd
Timonium, MD 21093
Phone (410) 561-9591

401 E Corporate Dr
Ste 220
Lewisville, TX 75057
Phone (318) 469-0968

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1255302774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E CORPORATE DR",
            "address_2": "SUITE 220",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576430",
            "telephone_number": "214-379-3347",
            "fax_number": "214-379-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W AYLESBURY RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934101",
            "telephone_number": "410-561-9591",
            "fax_number": "410-560-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASS MENTAL HEALTH FOUNDATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLASS MENTAL HEALTH FOUNDATION, INC.",
        "enumeration_date": "2006-02-01",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "BOND",
        "authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
        "authorized_official_telephone_number": "214-379-3398"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "13110",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "905032",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": "905032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99241900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099421900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.