NPIMap

Organization Active NPI

Free Baltimore, LLC

Doing business as Wholistic Behavior

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cambridge, MD
National Provider Identifier
1366226821
Registry record updated Aug 24, 2023
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
FREE BALTIMORE, LLC
Doing business as
Wholistic Behavior
Practice address
411 Dorchester Ave
Cambridge, MD 21613-2421
Phone
(240) 229-6417
NPI assigned
Aug 24, 2023
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
FREE BALTIMORE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Northwest Registered Agent
Title
Registered Agent
Phone
(443) 416-5667

Specialties & licenses 1

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

Addresses

Primary practice location

411 Dorchester Ave
Cambridge, MD 21613-2421

Mailing address

1120 N Charles St Ste 408
Baltimore, MD 21201-5594
Phone (443) 416-5667

Other names 1

  • Wholistic Behavior Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Free Baltimore LLC9 organizations share this tax ID, including this one
Part of
Free Baltimore LLC

Other organizations with this tax ID 8

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

Locations

411 Dorchester Ave
Cambridge, MD 21613
Phone (240) 229-6417

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1366226821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N CHARLES ST STE 408",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015594",
            "telephone_number": "443-416-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 DORCHESTER AVE",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132421",
            "telephone_number": "240-229-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE BALTIMORE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREE BALTIMORE, LLC",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "AGENT",
        "authorized_official_first_name": "NORTHWEST",
        "authorized_official_middle_name": "REGISTERED",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "443-416-5667"
    },
    "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": "Wholistic Behavior",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.