Man Alive, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

900128 Issued in MD

Legal business name

MAN ALIVE, INC.

Practice address

2117 Maryland Ave
Baltimore, MD 21218-5614

Phone

(410) 837-4292

Fax

(410) 837-0639

NPI assigned

Dec 10, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Reese, MA, CAC-AD

Title

Executive Director

Phone

(410) 837-4292

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Man Alive Inc2 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.

• Man Alive, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
  • NPI 1821720855
  NPD tax ID

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1437488053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185614",
            "telephone_number": "410-837-4292",
            "fax_number": "410-837-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185614",
            "telephone_number": "410-837-4292",
            "fax_number": "410-837-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAN ALIVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-837-4292",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CAC-AD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "900128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "759404600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Mammen, M.D.
• Jennifer Sophie Mammen, M.D.
• George J Mamo, M.D.
• Man Alive Transition House LLC
• Man Alive, Inc.
• Man Alive, Inc.
• Yukari Manabe, M.D.
• Management,Marketing,Medical,and Accounting Services LLC
• Michele Ann Manahan, MD
• Kathleen Susanne Manalastas, DPT

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.