NPIMap

Organization Active NPI

Upwards Bounds Behavioral Health Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1407507668
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
UPWARDS BOUNDS BEHAVIORAL HEALTH CENTER
Practice address
4000 W Northern Pkwy Ste 200
Baltimore, MD 21215-4473
Phone
(301) 752-7400
NPI assigned
Jan 10, 2022
Last updated
Apr 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Ms. Ericka Jones
Title
Ceo/Administrator
Phone
(301) 752-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

4000 W Northern Pkwy Ste 200
Baltimore, MD 21215-4473

Mailing address

4000 W Northern Pkwy Ste 200
Baltimore, MD 21215-4473
Phone (301) 752-7400

National Provider Directory

National Provider Directory
Tax ID family
Upwards Bounds Behavioral Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4000 W Northern Pkwy
Ste 200
Baltimore, MD 21215
Phone (301) 752-7400

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1407507668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W NORTHERN PKWY STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154473",
            "telephone_number": "301-752-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W NORTHERN PKWY STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154473",
            "telephone_number": "301-752-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPWARDS BOUNDS BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "301-752-7400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "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 25, 2022; 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.