Active NPI
Taylor Wellness Center, Inc.
- Clinical Social Worker
- Pikesville, MD
National Provider Identifier
1326507237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- TAYLOR WELLNESS CENTER, INC.
- Practice address
- 1314 Bedford Ave Ste 114
Pikesville, MD 21208-3737 - Phone
- (443) 431-3875
- Fax
- (443) 264-0426
- NPI assigned
- Mar 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fatima Taylor, LCSW-C
- Title
- President and Ceo
- Phone
- (443) 431-3875
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Recreation Therapist | 225800000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
1314 Bedford Ave Ste 114
Pikesville, MD 21208-3737
Mailing address
10999 Red Run Blvd Ste 205
Owings Mills, MD 21117-3249
Phone (443) 431-3875
Other practice location 1
7 Pleasantview Church Rd
Port Deposit, MD 21904-1813
Phone (443) 431-3875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067037500 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | fatima.taylor@twcmd.com |
National Provider Directory
National Provider Directory- Tax ID family
- Taylor Wellness Center Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Hospital
- Pikesville, MD
- NPI 1285374124
-
- Community/Behavioral Health Agency
- Pikesville, MD
- NPI 1457091308
-
- Rehabilitation Clinic/Center
- Pikesville, MD
- NPI 1467192872
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Bethesda, MD
- NPI 1427065010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648598400000",
"number": "1326507237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10999 RED RUN BLVD STE 205",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211173249",
"telephone_number": "443-431-3875",
"fax_number": "443-264-0426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 BEDFORD AVE STE 114",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212083737",
"telephone_number": "443-431-3875",
"fax_number": "443-264-0426"
}
],
"practiceLocations": [
{
"address_1": "7 Pleasantview Church Rd",
"address_purpose": "LOCATION",
"city": "Port Deposit",
"state": "MD",
"postal_code": "219041813",
"country_code": "US",
"telephone_number": "443-431-3875",
"fax_number": "443-264-0426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TAYLOR WELLNESS CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-19",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "FATIMA",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "443-431-3875",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067037500",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "fatima.taylor@twcmd.com",
"affiliation": "N",
"address_1": "10999 Red Run Blvd Ste 205",
"city": "Owings Mills",
"state": "MD",
"country_code": "US",
"postal_code": "211173249",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.