NPIMap

Organization Active NPI

Positive Steps LLC Substance Abuse

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1376997544
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
100725 Issued in MD
Legal business name
POSITIVE STEPS LLC SUBSTANCE ABUSE
Practice address
5710 Bellona Ave
Suite 102
Baltimore, MD 21212-3500
Phone
(410) 878-6404
Fax
(410) 779-9147
NPI assigned
Apr 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Mr. Tyrone Willoughby Jr., LCSW-C
Title
Qa Director
Phone
(410) 353-8954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 100725 MD Primary

Addresses

Primary practice location

5710 Bellona Ave
Suite 102
Baltimore, MD 21212-3500

Mailing address

5710 Bellona Ave
Suite 102
Baltimore, MD 21212-3500
Phone (410) 878-6404

National Provider Directory

National Provider Directory
Tax ID family
Positive Steps LLC Substance Abuse4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1376997544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 BELLONA AVE",
            "address_2": "SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123500",
            "telephone_number": "410-878-6404",
            "fax_number": "410-779-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 BELLONA AVE",
            "address_2": "SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123500",
            "telephone_number": "410-878-6404",
            "fax_number": "410-779-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE STEPS LLC SUBSTANCE ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "WILLOUGHBY",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "QA DIRECTOR",
        "authorized_official_telephone_number": "410-353-8954",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "100725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.