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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Amiel Chicheportiche
Title
Program Sponsor
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.

Specialties & licenses 4

NPPES NPI Registry
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

NPPES NPI Registry

Primary practice location

1209 Greenwood Rd
Baltimore, MD 21208-3609

Mailing address

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
899655OtherMDBEACON

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2017.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "899655",
            "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 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.