Organization Active NPI

Johns Hopkins Bayview Medical Center

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1295932580
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
30-005 Issued in MD
Legal business name
JOHNS HOPKINS BAYVIEW MEDICAL CENTER
Practice address
5500 E Lombard St
Baltimore, MD 21224-1731
Phone
(410) 550-0070
Fax
(410) 550-0112
NPI assigned
Jun 29, 2007
Last updated
Jul 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
JOHNS HOPKINS BAYVIEW MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Jennifer Nickoles
Title
President
Phone
(410) 955-6552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 30-005 MD Primary

Addresses

Primary practice location

5500 E Lombard St
Baltimore, MD 21224-1731

Mailing address

PO Box 632053
Baltimore, MD 21263-2053
Phone (443) 997-0001

Other names 1

  • JHBMC Southeast Baltimore Mental Health Clinic Child Other name

National Provider Directory

National Provider Directory
Tax ID family
Johns Hopkins Bayview Medical Center14 organizations share this tax ID, including this one
Part of
Johns Hopkins Bayview Medical Center

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1295932580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632053",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212632053",
            "telephone_number": "443-997-0001",
            "fax_number": "443-997-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 E LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241731",
            "telephone_number": "410-550-0070",
            "fax_number": "410-550-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS HOPKINS BAYVIEW MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNS HOPKINS BAYVIEW MEDICAL CENTER",
        "enumeration_date": "2007-06-29",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "NICKOLES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-955-6552"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "30-005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JHBMC Southeast Baltimore Mental Health Clinic Child",
            "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 Jul 21, 2025; 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.