Organization Active NPI

Umbrella Wellness Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westminster, MD
National Provider Identifier
1356170492
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
UMBRELLA WELLNESS CENTER
Practice address
135 E Main St
Westminster, MD 21157-5012
Phone
(410) 404-2503
NPI assigned
Jul 29, 2024
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Sybil Buckwalter
Title
Ceo
Phone
(410) 404-2503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

135 E Main St
Westminster, MD 21157-5012

Mailing address

135 E Main St
Westminster, MD 21157-5012

National Provider Directory

National Provider Directory

Locations

135 E Main St
Westminster, MD 21157
Phone (410) 404-2503

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1356170492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E MAIN ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E MAIN ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575012",
            "telephone_number": "410-404-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMBRELLA WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "BUCKWALTER",
        "authorized_official_first_name": "SYBIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-404-2503"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.