Organization Active NPI

Innovative Healthcare Training, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1306582267
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INNOVATIVE HEALTHCARE TRAINING, INC.
Practice address
2 Crain Hwy S Ste 2B
Glen Burnie, MD 21061-3526
Phone
(443) 410-3570
Fax
(443) 410-3592
NPI assigned
May 12, 2022
Organization subpart
Yes
Parent organization
INNOVATIVE HEALTHCARE TRAINING, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Dr. Dr. Crystal Greene, DNP
Title
Ceo
Phone
(443) 410-3570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2 Crain Hwy S Ste 2B
Glen Burnie, MD 21061-3526

Mailing address

2 Crain Hwy S Ste 2B
Glen Burnie, MD 21061-3526
Phone (443) 410-3570

Other names 1

  • Next Level Mental Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Next Level Recovery6 organizations share this tax ID, including this one
Part of
Next Level Recovery

Other organizations with this tax ID 5

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

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": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1306582267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CRAIN HWY S STE 2B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613526",
            "telephone_number": "443-410-3570",
            "fax_number": "443-410-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CRAIN HWY S STE 2B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613526",
            "telephone_number": "443-410-3570",
            "fax_number": "443-410-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTHCARE TRAINING, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE HEALTHCARE TRAINING, INC.",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "DR. CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-410-3570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Next Level Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.