NPIMap

Organization Active NPI

Ama Transitional Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lutherville Timonium, MD
National Provider Identifier
1396242152
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AMA TRANSITIONAL SERVICES, LLC
Practice address
22 W Padonia Rd Ste A203
Lutherville Timonium, MD 21093-2277
Phone
(443) 475-0338
NPI assigned
Apr 9, 2018
Organization subpart
Yes
Parent organization
AMA TRANSITIONAL SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. Aldin Gordon, LCPC
Title
Mental Health Provider
Phone
(410) 475-0338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

22 W Padonia Rd Ste A203
Lutherville Timonium, MD 21093-2277

Mailing address

22 W Padonia Rd Ste A203
Lutherville Timonium, MD 21093-2277
Phone (443) 475-0338

Other identifiers 1

IdentifierTypeStateIssuer
086022100MedicaidMD

Other names 1

  • Mental Health Provider Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ama Transitional Services LLC3 organizations share this tax ID, including this one
Part of
Ama Transitional Services LLC

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1396242152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD STE A203",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932277",
            "telephone_number": "443-475-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD STE A203",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932277",
            "telephone_number": "443-475-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMA TRANSITIONAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMA TRANSITIONAL SERVICES, LLC",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ALDIN",
        "authorized_official_title_or_position": "MENTAL HEALTH PROVIDER",
        "authorized_official_telephone_number": "410-475-0338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086022100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health Provider",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutherville Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.