Fountain Health Services Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FOUNTAIN HEALTH SERVICES INC.

Practice address

330 W 24TH St Ste D
Baltimore, MD 21211-3216

Phone

(443) 525-2019

Fax

(410) 630-3600

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Olanike K Osunnuyi

Title

Manager

Phone

(443) 525-2019

Specialties & licenses 4

Addresses

Tax ID family

Fountain Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Fountain Health Services Inc.

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1437880770
  NPD tax ID

Locations

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1477275642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SUDVALE RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084114",
            "telephone_number": "443-525-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 24TH ST STE D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212113216",
            "telephone_number": "443-525-2019",
            "fax_number": "410-630-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "OSUNNUYI",
        "authorized_official_first_name": "OLANIKE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-525-2019"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foundations for Success, LLC
• Fountain Health Care, LLC (Unity Healthcare)
• Fountain Health Care, LLC (Unity Healthcare)
• Fountain Health Care, LLC (Unity Healthcare)
• Fountain Health Services Inc.
• Fountain of Life Behavioral Health Counseling & Wellness Ctr.
• Julia Fountain
• Margaret A. Fountain, M.D.
• Nancy Fouts, APRN
• Lindsey Fowler-Marques

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.