NPIMap

Organization Active NPI

Upper Bay Counseling & Support Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkton, MD
National Provider Identifier
1437543774
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MH 1329 Issued in MD
Legal business name
UPPER BAY COUNSELING & SUPPORT SERVICES, INC
Practice address
200 Booth St
Elkton, MD 21921-5657
Phone
(410) 996-3400
Fax
(410) 398-3416
NPI assigned
Mar 25, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Rich Bayer, PHD
Title
Ceo
Phone
(410) 996-3400

Corporate family (same tax ID) 21

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

National Provider Directory

National Provider Directory
Tax ID family
Upper Bay Counseling Support Services Inc (22 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MH 1329 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

200 Booth St
Elkton, MD 21921-5657

Mailing address

200 Booth St
Elkton, MD 21921-5657
Phone (410) 996-3400

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
922801200MedicaidMD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2015.

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1437543774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOOTH ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215657",
            "telephone_number": "410-996-3400",
            "fax_number": "410-398-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOOTH ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215657",
            "telephone_number": "410-996-3400",
            "fax_number": "410-398-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER BAY COUNSELING & SUPPORT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "BAYER",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-996-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "MH 1329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "922801200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.