NPIMap

Organization Active NPI

Potomac Ridge Behavioral Health Anne Arundel

  • Mental Illness Community Based Residential Treatment Facility
  • Crownsville, MD
National Provider Identifier
1396958575
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
02-025 Issued in MD
Legal business name
POTOMAC RIDGE BEHAVIORAL HEALTH ANNE ARUNDEL
Practice address
14 Romig Dr
Crownsville, MD 21032-2051
Phone
(410) 923-6410
Fax
(410) 729-2176
NPI assigned
May 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Michelle Singletary-Twyman
Title
Don
Phone
(410) 729-2135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 02-025 MD Primary

Addresses

Primary practice location

14 Romig Dr
Crownsville, MD 21032-2051

Mailing address

14 Romig Dr
Crownsville, MD 21032-2051
Phone (410) 923-6410

Other names 1

  • adventist healthcare Other name

National Provider Directory

National Provider Directory
Tax ID family
Adventist Health Servic15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

14 Romig Dr
Crownsville, MD 21032
Phone (410) 923-6410

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396958575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ROMIG DR",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322051",
            "telephone_number": "410-923-6410",
            "fax_number": "410-729-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ROMIG DR",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322051",
            "telephone_number": "410-923-6410",
            "fax_number": "410-729-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC RIDGE BEHAVIORAL HEALTH ANNE ARUNDEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINGLETARY-TWYMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "410-729-2135",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MD",
            "license": "02-025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "adventist healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Crownsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.