Active NPI
Windrush Behavioral Health, LLC
- Specialist
- Lutherville, MD
National Provider Identifier
1366819187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D31176
- Legal business name
- WINDRUSH BEHAVIORAL HEALTH, LLC
- Practice address
- 1447 York Road
Suite 506
Lutherville, MD 21093-6022 - Phone
- (410) 825-2281
- Fax
- (410) 825-2280
- NPI assigned
- Aug 27, 2015
- Last updated
- Mar 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward M. Swanton, M.D.
- Title
- Ceo/Geriatric Psychiatrist
- Phone
- (410) 825-2281
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | |||
| Specialist | 174400000X | D31176 | MD | Primary |
Addresses
Primary practice location
1447 York Road
Suite 506
Lutherville, MD 21093-6022
Mailing address
1447 York Road
Suite 506
Lutherville, MD 21093-6022
Phone (410) 825-2281
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616630400000",
"number": "1366819187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1447 YORK ROAD",
"address_2": "SUITE 506",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936022",
"telephone_number": "410-825-2281",
"fax_number": "410-825-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1447 YORK ROAD",
"address_2": "SUITE 506",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936022",
"telephone_number": "410-825-2281",
"fax_number": "410-825-2280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDRUSH BEHAVIORAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-27",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A",
"authorized_official_last_name": "SWANTON",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CEO/GERIATRIC PSYCHIATRIST",
"authorized_official_telephone_number": "410-825-2281",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D31176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.