NPIMap

Organization Active NPI

Main Place Treatment Centers LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
National Provider Identifier
1336614536
Registry record updated Oct 4, 2018
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
MAIN PLACE TREATMENT CENTERS LLC.
Doing business as
Main Place Treatment Centers LLC
Practice address
915 Toll House Ave Ste 102
Frederick, MD 21701-5911
Phone
(240) 575-1324
Fax
(301) 682-2053
NPI assigned
Oct 4, 2018
Last updated
Oct 4, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MAIN PLACE TREATMENT CENTERS LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Amanda Marie Geyer
Title
Program Diector
Phone
(240) 575-1324

Specialties & licenses 1

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

Addresses

Primary practice location

915 Toll House Ave Ste 102
Frederick, MD 21701-5911

Mailing address

365 W Patrick St Ste 202
Frederick, MD 21701-4854
Phone (240) 575-1324

Other names 2

  • Main Place Treatment Centers LLC Doing business as
  • Main Place Addiction Treatment Centers LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Main Place Addiction TRMT C3 organizations share this tax ID, including this one
Part of
Main Place Addiction TRMT C

Other organizations with this tax ID 2

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1336614536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W PATRICK ST STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014854",
            "telephone_number": "240-575-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 TOLL HOUSE AVE STE 102",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015911",
            "telephone_number": "240-575-1324",
            "fax_number": "301-682-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN PLACE TREATMENT CENTERS LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAIN PLACE TREATMENT CENTERS LLC.",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "GEYER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROGRAM DIECTOR",
        "authorized_official_telephone_number": "240-575-1324"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Place Treatment Centers LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Main Place Addiction Treatment Centers LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.