Organization Active NPI

Thor Learning Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1467973149
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
161287 Issued in MD
Legal business name
THOR LEARNING CENTER LLC
Practice address
4640 Edmondson Ave FL 1
Baltimore, MD 21229-1407
Phone
(443) 904-8831
NPI assigned
Jul 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
David J HeardNPI 1144741802
Title
Ceo
Phone
(443) 904-8831

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 161287 MD Primary

Addresses

Primary practice location

4640 Edmondson Ave FL 1
Baltimore, MD 21229-1407

Mailing address

4640 Edmondson Ave FL 1
Baltimore, MD 21229-1407
Phone (443) 904-8831

National Provider Directory

National Provider Directory

Locations

4640 Edmondson Ave
Fl 1
Baltimore, MD 21229
Phone (443) 904-8831

Practitioners & affiliated clinicians

Practitioners 1

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": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1467973149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 EDMONDSON AVE FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291407",
            "telephone_number": "443-904-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 EDMONDSON AVE FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291407",
            "telephone_number": "443-904-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOR LEARNING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "HEARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-904-8831"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "161287",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 15, 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.