Organization Active NPI

United Cerebral Palsy of CM, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Baltimore, MD
National Provider Identifier
1285768358
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
UNITED CEREBRAL PALSY OF CM, INC.
Practice address
1700 Reisterstown Rd
Suite 226
Baltimore, MD 21208-1416
Phone
(410) 484-4540
Fax
(410) 486-6627
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Diane K. Coughlin
Title
President and Ceo
Phone
(410) 484-4540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X MD Primary

Addresses

Primary practice location

1700 Reisterstown Rd
Suite 226
Baltimore, MD 21208-1416

Mailing address

18 Delrey Ave
Baltimore, MD 21228-3420
Phone (410) 484-4540

Other names 1

  • UCP-Delrey Other name

National Provider Directory

National Provider Directory
Tax ID family
United Cerebral Palsy of Central MD Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285768358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 DELREY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212283420",
            "telephone_number": "410-484-4540",
            "fax_number": "410-486-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 REISTERSTOWN RD",
            "address_2": "SUITE 226",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081416",
            "telephone_number": "410-484-4540",
            "fax_number": "410-486-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY OF CM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COUGHLIN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "410-484-4540",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCP-Delrey",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 22, 2020; 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.