Insight Behavioral Health, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

12570 Issued in MD

Legal business name

INSIGHT BEHAVIORAL HEALTH, LLC

Practice address

1831B Forest Dr Ste B
Annapolis, MD 21401-4429

Phone

(410) 280-0990

Fax

(410) 280-0990

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Banks Wetmore, LCSW-CNPI 1699885640

Title

Therapist/Sole Proprietor

Phone

(410) 280-0990

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Banks Wetmore, LCSW-C

  • Clinical Social Worker
  • Annapolis, MD
  • NPI 1699885640
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366552333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MAPLE TRL",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321729",
            "telephone_number": "410-905-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831B FOREST DR STE B",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014429",
            "telephone_number": "410-280-0990",
            "fax_number": "410-280-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WETMORE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "BANKS",
        "authorized_official_title_or_position": "THERAPIST/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "410-280-0990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MD",
            "license": "12570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Health Maintenance Organization in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.