Gratitude Behavioral Health LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GRATITUDE BEHAVIORAL HEALTH LLC

Practice address

600 Dover Rd Ste 107
Easton, MD 21601-3846

Phone

(410) 924-4513

NPI assigned

Mar 20, 2021

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael L Rissolo

Title

Director/Ceo

Phone

(410) 924-4513

Specialties & licenses 1

Addresses

Tax ID family

Gratitude Behavioral Health LLC2 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.

• Gratitude Behavioral Health LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cambridge, MD
  • NPI 1144019936
  NPD tax ID

Locations

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.

• Kaitlyn Christina Snitchler

  • Counselor
  • Quincy, MA
  • NPI 1326386236
  NPD
• Staci L. Downs-McCants, LPCMH

  • Mental Health Counselor
  • Dover, DE
  • NPI 1619550027
  NPD (past)

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1437735529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DOVER RD STE 107",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013846",
            "telephone_number": "505-469-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DOVER RD STE 107",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013846",
            "telephone_number": "410-924-4513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 N Washington St Ste 26&28",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216013170",
            "country_code": "US",
            "telephone_number": "410-924-5520",
            "fax_number": "410-770-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRATITUDE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-20",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "RISSOLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "410-924-4513"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert Paul Gorin, DDS
• Timothy Goslin, COTA
• Messanvi M Gozo, CRNP
• Anne L Grady, D.O.
• Sunny Rae Granger, CNM
• Greater Baltimore Medical Center, Inc. (Ophthalmology GBMC Mid Shore)
• Eric Daniel Green, D.O.
• Lisa Green, LCPC
• Lonnelle Antonio Green I
• Richard R Greenbaum, PHD

• Substance Use Disorder Rehabilitation Clinic/Center in Easton, MD
• Providers in Easton, MD by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.