NPIMap

Organization Active NPI

Associated Catholic Charities, Inc.

Doing business as Villa Maria Behavioral Health Services - Abingdon PRP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Abingdon, MD
National Provider Identifier
1437646882
Registry record updated Jun 3, 2024
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
ASSOCIATED CATHOLIC CHARITIES, INC.
Doing business as
Villa Maria Behavioral Health Services - Abingdon PRP
Practice address
1301 Continental Dr Ste 101&102
Abingdon, MD 21009-2338
Phone
(667) 600-3220
NPI assigned
Apr 20, 2018
Reactivated
May 20, 2022
Last updated
Jun 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Gloria Oversmith
Title
Billing Manager
Phone
(667) 600-2249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1301 Continental Dr Ste 101&102
Abingdon, MD 21009-2338

Mailing address

2300 Dulaney Valley Rd Ste B
Timonium, MD 21093-2739
Phone (667) 600-2244

Other identifiers 1

IdentifierTypeStateIssuer
419835212MedicaidMD

Other names 1

  • Villa Maria Behavioral Health Services - Abingdon PRP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Francis X Gallagher Services62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1301 Continental Dr
Abingdon, MD 21009
Phone (667) 600-3216

1301 Continental Dr
Ste 101102
Abingdon, MD 21009
Phone (667) 600-3220

2300 Dulaney Valley Rd
Ste B
Timonium, MD 21093

Practitioners & affiliated clinicians

Practitioners 2

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": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1437646882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 DULANEY VALLEY RD STE B",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932739",
            "telephone_number": "667-600-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CONTINENTAL DR STE 101&102",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092338",
            "telephone_number": "667-600-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED CATHOLIC CHARITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2024-06-03",
        "certification_date": "2024-03-05",
        "deactivation_date": "2020-01-03",
        "reactivation_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "OVERSMITH",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "667-600-2249"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419835212",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Maria Behavioral Health Services - Abingdon PRP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.