NPIMap

Organization Active NPI

Pikesville Health Services LLC

  • Adult Mental Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1477098044
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
906136 Issued in MD
Legal business name
PIKESVILLE HEALTH SERVICES LLC
Practice address
1209 Greenwood Rd
Baltimore, MD 21208-3609
Phone
(410) 484-8500
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Amiel Chicheportiche
Title
Program Sponsor
Phone
(410) 484-8500

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 906136 MD
Adult Mental Health Clinic/Center 261QM0850X 906136 MD Primary
Methadone Clinic 261QM2800X 906136 MD
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 906136 MD

Addresses

Primary practice location

1209 Greenwood Rd
Baltimore, MD 21208-3609

Mailing address

1209 Greenwood Rd
Baltimore, MD 21208-3609
Phone (410) 484-8500

National Provider Directory

National Provider Directory
Tax ID family
Pikesville Health Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1477098044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 GREENWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083609",
            "telephone_number": "410-484-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 GREENWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083609",
            "telephone_number": "410-484-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKESVILLE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "CHICHEPORTICHE",
        "authorized_official_first_name": "AMIEL",
        "authorized_official_title_or_position": "PROGRAM SPONSOR",
        "authorized_official_telephone_number": "410-484-8500"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "906136",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "906136",
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MD",
            "license": "906136",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": "906136",
            "primary": false
        }
    ],
    "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 Jan 5, 2017; 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.