Citywide Community Resources Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CITYWIDE COMMUNITY RESOURCES CORPORATION

Practice address

17 Warren Road Suite 20B, Room 7
Pikesville, MD 21208

Phone

(410) 929-2314

Fax

(410) 484-8107

NPI assigned

Dec 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Pamela Johnson, DNPNPI 1023252129

Title

Founder/ Ceo

Phone

(410) 274-8388

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Pamela Penina Johnson, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1023252129
  NPD Authorized official

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1487292017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WARREN ROAD SUITE 20B, ROOM 7",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-929-2314",
            "fax_number": "410-484-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WARREN ROAD SUITE 20B, ROOM 7",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-929-2314",
            "fax_number": "410-484-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYWIDE COMMUNITY RESOURCES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "FOUNDER/ CEO",
        "authorized_official_telephone_number": "410-274-8388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Cimiluca
• Diego Cintron-de Leon
• Julia Cirincione
• Citywide Behavioral Health
• Citywide Behavioral Health LLC
• Citywide Health Corporation
• Citywide Health Corporation
• Marlene Claborn
• Benjamin Eugene Clark
• Gail Elizabeth Clark

• Community/Behavioral Health Agency in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.