NPIMap

Organization Active NPI

Warwick Manor Behavioral Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East New Market, MD
National Provider Identifier
1366849903
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MH-1296 Issued in MD
Legal business name
WARWICK MANOR BEHAVIORAL HEALTH, INC.
Practice address
3680 Warwick Rd
East New Market, MD 21631-1420
Phone
(410) 943-8108
NPI assigned
Nov 25, 2014
Last updated
Nov 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
L. Wesley Fuhrman
Title
President & Ceo
Phone
(410) 943-8108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MH-1296 MD Primary

Addresses

Primary practice location

3680 Warwick Rd
East New Market, MD 21631-1420

Mailing address

PO Box 489
Secretary, MD 21664-0489
Phone (410) 943-8108

Other identifiers 1

IdentifierTypeStateIssuer
408231100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Warwick Manor Behavioral Health Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & 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": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1366849903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "SECRETARY",
            "state": "MD",
            "postal_code": "216640489",
            "telephone_number": "410-943-8108",
            "fax_number": "410-943-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 WARWICK RD",
            "city": "EAST NEW MARKET",
            "state": "MD",
            "postal_code": "216311420",
            "telephone_number": "410-943-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARWICK MANOR BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "FUHRMAN",
        "authorized_official_first_name": "L.",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "410-943-8108"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "MH-1296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408231100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East New Market, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.