NPIMap

Organization Active NPI

Lotus Pediatric-Psychiatry and Behavioral Health Services

  • Licensed Practical Nurse
  • Baltimore, MD
National Provider Identifier
1285281535
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
Legal business name
LOTUS PEDIATRIC-PSYCHIATRY AND BEHAVIORAL HEALTH SERVICES
Practice address
503 Evergreen St
Baltimore, MD 21223-1000
Phone
(443) 627-8191
Fax
(410) 741-3000
NPI assigned
Aug 21, 2019
Organization subpart
Yes
Parent organization
LOTUS BEHAVIORAL HEALTH AND REHABILITATION SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Aisha Amenra
Title
President/Owner
Phone
(443) 627-8191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 164W00000X Primary

Addresses

Primary practice location

503 Evergreen St
Baltimore, MD 21223-1000

Mailing address

503 Evergreen St
Baltimore, MD 21223-1000
Phone (443) 627-8191

National Provider Directory

National Provider Directory
Tax ID family
Lotus Pediatric-Psychiatry and Behavioral Health Services2 organizations share this tax ID, including this one
Part of
Lotus Behavioral Health and Rehabilitative Services Inc

Other organizations with this tax ID 1

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

Locations

503 Evergreen St
Baltimore, MD 21223
Phone (443) 627-8191

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1285281535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 EVERGREEN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231000",
            "telephone_number": "443-627-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 EVERGREEN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231000",
            "telephone_number": "443-627-8191",
            "fax_number": "410-741-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS PEDIATRIC-PSYCHIATRY AND BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOTUS BEHAVIORAL HEALTH AND REHABILITATION SERVICES INC.",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "AMENRA",
        "authorized_official_first_name": "AISHA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "443-627-8191"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 21, 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.