Organization Active NPI

Ama Transitional Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1295371268
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AMA TRANSITIONAL SERVICES, LLC
Practice address
1407 Lochner Rd Ste 0
Baltimore, MD 21239-2932
Phone
(443) 475-0338
Fax
(410) 878-0382
NPI assigned
Nov 25, 2019
Organization subpart
Yes
Parent organization
AMA TRANSITIONAL SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Mr. Aldin Gordon, LCPCNPI 1215103544
Title
Therapist
Phone
(443) 475-0338

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1407 Lochner Rd Ste 0
Baltimore, MD 21239-2932

Mailing address

1407 Lochner Rd Ste 0
Baltimore, MD 21239-2932
Phone (443) 475-0338

Other practice location 1

14 Rogers Rd Ste 211
North East, MD 21901-3612
Phone (443) 475-0338

Other practice location 2

1813 Sweetbay Dr Ste 7
Salisbury, MD 21804-1663
Phone (443) 475-0338

Other identifiers 1

IdentifierTypeStateIssuer
086022100MedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sedgar@amatransitionalservices.com
Direct Messaging Address agordon@amtransitionalservices.com

National Provider Directory

National Provider Directory
Part of
Ama Transitional Services LLC

Locations

1813 Sweetbay Dr
Ste 7
Salisbury, MD 21804
Phone (410) 572-4738

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1295371268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 LOCHNER RD STE 0",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392932",
            "telephone_number": "443-475-0338",
            "fax_number": "410-878-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 LOCHNER RD STE 0",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392932",
            "telephone_number": "443-475-0338",
            "fax_number": "410-878-0382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Rogers Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "North East",
            "state": "MD",
            "postal_code": "219013612",
            "country_code": "US",
            "telephone_number": "443-475-0338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1813 Sweetbay Dr Ste 7",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218041663",
            "country_code": "US",
            "telephone_number": "443-475-0338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMA TRANSITIONAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMA TRANSITIONAL SERVICES, LLC",
        "enumeration_date": "2019-11-25",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ALDIN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "443-475-0338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086022100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sedgar@amatransitionalservices.com",
            "affiliation": "N",
            "address_1": "1407 Lochner Rd Ste 0",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212392932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agordon@amtransitionalservices.com",
            "affiliation": "N",
            "address_1": "1407 Lochner Rd Ste 0",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212392932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 3, 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.