NPIMap

Organization Active NPI

Community Connections Collective, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pikesville, MD
National Provider Identifier
1396464517
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COMMUNITY CONNECTIONS COLLECTIVE, LLC
Practice address
3701 Old Court Rd Ste 4B
Pikesville, MD 21208-3901
Phone
(443) 629-5561
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Monique BobbittNPI 1306565601
Title
Ceo
Phone
(443) 629-5561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

3701 Old Court Rd Ste 4B
Pikesville, MD 21208-3901

Mailing address

3701 Old Court Rd Ste 4B
Pikesville, MD 21208-3901
Phone (443) 629-5561

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL monique.bobbitt@yahoo.com Direct
CONNECT URL Laptop Direct

National Provider Directory

National Provider Directory

Locations

3701 Old Court Rd
Ste 4B
Pikesville, MD 21208
Phone (443) 629-5561

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1396464517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 OLD COURT RD STE 4B",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083901",
            "telephone_number": "443-629-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 OLD COURT RD STE 4B",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083901",
            "telephone_number": "443-629-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONNECTIONS COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "BOBBITT",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-629-5561"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "monique.bobbitt@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3701 Old Court Rd Ste 4B",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212083901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "Laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3701 Old Court Rd Ste 4B",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212083901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.