NPIMap

Organization Active NPI

Healthport

  • Community/Behavioral Health Agency
  • Salisbury, MD
National Provider Identifier
1275858417
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4606 Issued in MD
Legal business name
HEALTHPORT
Practice address
431 E Main St
Salisbury, MD 21804
Phone
(410) 341-9696
NPI assigned
Mar 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Kristine Gartlitz, LCSW-C
Title
Clinic Director
Phone
(410) 341-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4606 MD Primary

Addresses

Primary practice location

431 E Main St
Salisbury, MD 21804

Mailing address

505 E Main St
Salisbury, MD 21804-5020
Phone (410) 341-9696

Other identifiers 1

IdentifierTypeStateIssuer
419307500MedicaidMD

Other names 1

  • Lower Shore Clinic Mobile Treatment Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051102000426 MD Part B Supplier - Clinic/Group Practice 2365469947 Receives reassigned benefits from 15 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newark, MD; Salisbury, MD; Princess Anne, MD; Cambridge, MD

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Healthport15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

208 E Main St
Ste C
Salisbury, MD 21801
Phone (443) 324-9486

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1275858417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E MAIN ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045020",
            "telephone_number": "410-341-9696",
            "fax_number": "410-341-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E MAIN ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "410-341-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2025-09-02",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "GARTLITZ",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "410-341-3420",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "4606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419307500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lower Shore Clinic Mobile Treatment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.