Active NPI
Ama Transitional Services, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Aldin Gordon, LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086022100 | Medicaid | MD |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1811412604
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1215103544
Mental Health (Including Community Mental Health Center)
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.