NPIMap

Organization Active NPI

Associated Catholic Charities, Inc

Doing business as Mountain MD PRP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cumberland, MD
National Provider Identifier
1447554662
Registry record updated Jan 3, 2020
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
Mountain MD PRP
Villa Maria Behavioral Health Services of Mountain Maryland PRP
Practice address
308 Virginia Ave
Cumberland, MD 21502-4559
Phone
(667) 600-2110
NPI assigned
Jan 3, 2011
Last updated
Jan 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Mrs. Gloris Reeves
Title
A/R and 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

308 Virginia Ave
Cumberland, MD 21502-4559

Mailing address

2300 Dulaney Valley Rd
Timonium, MD 21093-2739
Phone (667) 600-2249

Other practice location 1

517 E Oldtown Rd
Cumberland, MD 21502-3687
Phone (301) 777-8685

Other identifiers 2

IdentifierTypeStateIssuer
419835207MedicaidMD
419835200MedicaidMD

Other names 2

  • MOUNTAIN MD PRP Doing business as
  • Villa Maria Behavioral Health Services of Mountain Maryland PRP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Associated Catholic Cha62 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

308 Virginia Ave
Cumberland, MD 21502
Phone (667) 600-2110

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1447554662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 DULANEY VALLEY RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932739",
            "telephone_number": "667-600-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 VIRGINIA AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024559",
            "telephone_number": "667-600-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 E Oldtown Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215023687",
            "country_code": "US",
            "telephone_number": "301-777-8685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSOCIATED CATHOLIC CHARITIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "GLORIS",
        "authorized_official_title_or_position": "A/R AND BILLING MANAGER",
        "authorized_official_telephone_number": "667-600-2249",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "419835207",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419835200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNTAIN MD PRP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOUNTAIN MD PRP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Villa Maria Behavioral Health Services of Mountain Maryland PRP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.