Organization Active NPI

MPG Neurohealth LLC

  • Clinic/Center
  • Lutherville Timonium, MD
National Provider Identifier
1356895288
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MPG NEUROHEALTH LLC
Practice address
2328 W Joppa Rd
Suite 10B
Lutherville Timonium, MD 21093-4612
Phone
(410) 979-2326
Fax
(877) 979-2327
NPI assigned
Aug 9, 2016
Last updated
Aug 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Jennifer Labellarte
Title
Manager
Phone
(410) 979-2326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2328 W Joppa Rd
Suite 10B
Lutherville Timonium, MD 21093-4612

Mailing address

2328 W Joppa Rd
Suite 10B
Lutherville Timonium, MD 21093-4612

National Provider Directory

National Provider Directory

Locations

2328 W Joppa Rd
Ste 10B
Lutherville Timonium, MD 21093
Phone (410) 979-2326

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1356895288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 W JOPPA RD",
            "address_2": "SUITE 10B",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 W JOPPA RD",
            "address_2": "SUITE 10B",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934612",
            "telephone_number": "410-979-2326",
            "fax_number": "877-979-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPG NEUROHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "LABELLARTE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-979-2326"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.