NPIMap

Organization Active NPI

I'M Still Standing by Grace Mental Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1457839284
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
BH001052 Issued in MD
Legal business name
I'M STILL STANDING BY GRACE MENTAL HEALTH CLINIC
Practice address
1003 E Patapsco Ave
Baltimore, MD 21225-2228
Phone
(410) 355-1379
Fax
(410) 355-2350
NPI assigned
Aug 3, 2018
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Miss Pamela Dukes, MHS, CPC, CAC-ADNPI 1043483472
Title
Program Owner
Phone
(443) 831-0191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH001052 MD
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X BH001052 MD Primary
Adult Mental Health Clinic/Center 261QM0850X BH001052 MD
Psychiatric Residential Treatment Facility 323P00000X BH001052 MD

Addresses

Primary practice location

1003 E Patapsco Ave
Baltimore, MD 21225-2228

Mailing address

1003 E Patapsco Ave
Baltimore, MD 21225-2228
Phone (443) 831-0191

Other identifiers 1

IdentifierTypeStateIssuer
BH001052OtherMDBEHAVIORAL HEALTH ADMINISTRATION

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1457839284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 E PATAPSCO AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212252228",
            "telephone_number": "443-831-0191",
            "fax_number": "410-355-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E PATAPSCO AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212252228",
            "telephone_number": "410-355-1379",
            "fax_number": "410-355-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I'M STILL STANDING BY GRACE MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "DUKES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PROGRAM OWNER",
        "authorized_official_telephone_number": "443-831-0191",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MHS, CPC, CAC-AD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "BH001052",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "BH001052",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "BH001052",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MD",
            "license": "BH001052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH ADMINISTRATION",
            "identifier": "BH001052",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.