Organization Active NPI

Ama Transitional Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1356852271
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LC4829 Issued in MD
Legal business name
AMA TRANSITIONAL SERVICES, LLC
Practice address
1407 Lochner Rd Ste 0
Baltimore, MD 21239-2932
Phone
(716) 465-6832
NPI assigned
Oct 18, 2017
Organization subpart
Yes
Parent organization
AMA TRANSITIONAL SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Aldin L. Gordon, LCPC
Title
Therapist
Phone
(716) 465-6832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LC4829 MD Primary

Addresses

Primary practice location

1407 Lochner Rd Ste 0
Baltimore, MD 21239-2932

Mailing address

1407 Lochner Rd Ste 0
Baltimore, MD 21239-2932
Phone (716) 465-6832

Other identifiers 1

IdentifierTypeStateIssuer
086022100MedicaidMD

Other names 1

  • AMA Transitional Services, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ama Transitional Services LLC3 organizations share this tax ID, including this one
Part of
Ama Transitional Services LLC

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": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1356852271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 LOCHNER RD STE 0",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392932",
            "telephone_number": "716-465-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 LOCHNER RD STE 0",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392932",
            "telephone_number": "716-465-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMA TRANSITIONAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMA TRANSITIONAL SERVICES, LLC",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ALDIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "716-465-6832",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "LC4829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086022100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMA Transitional Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 18, 2017; 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.