NPIMap

Organization Active NPI

Northwest Baltimore Youth Services, Inc.

  • Voluntary or Charitable Agency
  • Baltimore, MD
National Provider Identifier
1386620649
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
903676 Issued in MD
Legal business name
NORTHWEST BALTIMORE YOUTH SERVICES, INC.
Practice address
3319 W Belvedere Ave
Baltimore, MD 21215-5103
Phone
(410) 578-8100
Fax
(443) 524-2628
NPI assigned
Dec 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Ms. Audrey F. Bennett
Title
Executive Director
Phone
(410) 578-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 903676 MD Primary

Addresses

Primary practice location

3319 W Belvedere Ave
Baltimore, MD 21215-5103

Mailing address

3319 W Belvedere Ave
Baltimore, MD 21215-5103
Phone (410) 578-8100

Other identifiers 1

IdentifierTypeStateIssuer
122447OtherMD21546

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1386620649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155103",
            "telephone_number": "410-578-8100",
            "fax_number": "443-524-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155103",
            "telephone_number": "410-578-8100",
            "fax_number": "443-524-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST BALTIMORE YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-578-8100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MD",
            "license": "903676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "21546",
            "identifier": "122447",
            "state": "MD"
        }
    ],
    "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 Aug 13, 2009; 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.