NPIMap

Organization Active NPI

Healthport

  • Community/Behavioral Health Agency
  • Cambridge, MD
National Provider Identifier
1417424466
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEALTHPORT
Practice address
828 Airpax Rd # 600B
Cambridge, MD 21613-6401
Phone
(443) 493-2429
NPI assigned
Oct 29, 2018
Last updated
Jun 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHPORTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Kristine Gartlitz, LCSW-C
Title
Clinic Director
Phone
(410) 341-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

828 Airpax Rd # 600B
Cambridge, MD 21613-6401

Mailing address

208 E Main St Ste C
Salisbury, MD 21801-4923
Phone (410) 341-3420

Other names 1

  • Lower Shore Clinic, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051102000426 MD Part B Supplier - Clinic/Group Practice 2365469947 Receives reassigned benefits from 15 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newark, MD; Salisbury, MD; Princess Anne, MD; Cambridge, MD

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lower Shore Clinic Inc15 organizations share this tax ID, including this one
Part of
Lower Shore Clinic Inc

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1417424466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E MAIN ST STE C",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014923",
            "telephone_number": "410-341-3420",
            "fax_number": "410-341-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 AIRPAX RD # 600B",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216136401",
            "telephone_number": "443-493-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPORT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHPORT",
        "enumeration_date": "2018-10-29",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "GARTLITZ",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "410-341-3420",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lower Shore Clinic, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.