NPIMap

Organization Active NPI

Phat Future Minds Healthcare Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Essex, MD
National Provider Identifier
1407783699
Registry record updated May 4, 2026
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
PHAT FUTURE MINDS HEALTHCARE SERVICES
Practice address
1245 Eastern Blvd
Essex, MD 21221-3422
Phone
(443) 717-8645
Fax
(443) 717-8645
NPI assigned
May 4, 2026
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Jimmy Jerome Johnson Sr., JOHNSON
Title
Ceo
Phone
(443) 717-8645

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU

Addresses

Primary practice location

1245 Eastern Blvd
Essex, MD 21221-3422

Mailing address

1245 Eastern Blvd
Essex, MD 21221-3422
Phone (443) 717-8645

National Provider Directory

National Provider Directory

Locations

1245 Eastern Blvd
Essex, MD 21221
Phone (410) 558-4700

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1407783699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213422",
            "telephone_number": "443-717-8645",
            "fax_number": "443-717-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213422",
            "telephone_number": "443-717-8645",
            "fax_number": "443-717-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAT FUTURE MINDS HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-717-8645",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "JOHNSON"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.