NPIMap

Organization Active NPI

Warwick Manor Behavioral Health, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Salisbury, MD
National Provider Identifier
1467501544
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16295 Issued in MD
Legal business name
WARWICK MANOR BEHAVIORAL HEALTH, INC.
Practice address
220A E Main St
Salisbury, MD 21801-4923
Phone
(410) 860-9600
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Phyliss Johnson
Title
Director of Operations
Phone
(800) 344-6423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 16295 MD Primary

Addresses

Primary practice location

220A E Main St
Salisbury, MD 21801-4923

Mailing address

3680 Warwick Rd
East New Market, MD 21631-1420
Phone (180) 034-4642

National Provider Directory

National Provider Directory
Tax ID family
Warwick Manor Behavioral Health Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467501544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 WARWICK RD",
            "city": "EAST NEW MARKET",
            "state": "MD",
            "postal_code": "216311420",
            "telephone_number": "180-034-4642",
            "fax_number": "410-943-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220A E MAIN ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014923",
            "telephone_number": "410-860-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARWICK MANOR BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PHYLISS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "18003446423"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "16295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.