NPIMap

Organization Active NPI

Time Outpatient Mental Health Clinic

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1275956377
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TIME OUTPATIENT MENTAL HEALTH CLINIC
Practice address
2901 Druid Park Dr Ste A210
Baltimore, MD 21215-8137
Phone
(410) 225-0062
Fax
(410) 225-0184
NPI assigned
Jan 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Authorized official

Name
Ms. Lauren N Herron, LCSW-C
Title
Clinical Director
Phone
(410) 227-9426

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2901 Druid Park Dr Ste A210
Baltimore, MD 21215-8137

Mailing address

2901 Druid Park Dr Ste A202
Baltimore, MD 21215-8131
Phone (410) 225-0062

Other practice location 1

2901 Druid Park Dr Ste A202
Baltimore, MD 21215-8131
Phone (443) 872-2230

Other identifiers 1

IdentifierTypeStateIssuer
421961901MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Time Organization Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1275956377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 DRUID PARK DR STE A202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158131",
            "telephone_number": "410-225-0062",
            "fax_number": "410-225-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 DRUID PARK DR STE A210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158137",
            "telephone_number": "410-225-0062",
            "fax_number": "410-225-0184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Druid Park Dr Ste A202",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212158131",
            "country_code": "US",
            "telephone_number": "443-872-2230",
            "fax_number": "443-872-2227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIME OUTPATIENT MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "410-227-9426",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421961901",
            "state": "MD"
        }
    ],
    "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 Jul 8, 2019; 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.