NPIMap

Organization Active NPI

Amazin Recovery Treatment Services

  • Community/Behavioral Health Agency
  • Middle River, MD
National Provider Identifier
1275288136
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AMAZIN RECOVERY TREATMENT SERVICES
Practice address
820 Thimbleberry Rd
Middle River, MD 21220-2431
Phone
(443) 378-5785
Fax
(443) 376-5715
NPI assigned
Feb 18, 2022
Last updated
Nov 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Ms. Pamela C Johnson, CACNPI 1306451224
Title
Owner
Phone
(443) 376-5785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

820 Thimbleberry Rd
Middle River, MD 21220-2431

Mailing address

6730 Holabird Ave Ste 201
Dundalk, MD 21222-1700
Phone (443) 378-5785

Other names 1

  • The Mark House Other name

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1275288136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 HOLABIRD AVE STE 201",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212221700",
            "telephone_number": "443-378-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 THIMBLEBERRY RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202431",
            "telephone_number": "443-378-5785",
            "fax_number": "443-376-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZIN RECOVERY TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-376-5785",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mark House",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Mark House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Middle River, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.