NPIMap

Organization Active NPI

Channel Marker, Inc

  • Community/Behavioral Health Agency
  • Denton, MD
National Provider Identifier
1487832929
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHANNEL MARKER, INC
Practice address
508 Kerr Ave
Denton, MD 21629-1343
Phone
(410) 479-2318
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Catherine Cassell, LCSW-C
Title
Program Director
Phone
(410) 822-4619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

508 Kerr Ave
Denton, MD 21629-1343

Mailing address

8865 Glebe Park Dr
Unit 1
Easton, MD 21601-7003
Phone (410) 822-4619

Other identifiers 1

IdentifierTypeStateIssuer
588251601MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Channel Marker Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

508 Kerr Ave
Denton, MD 21629
Phone (410) 479-2318

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1487832929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 GLEBE PARK DR",
            "address_2": "UNIT 1",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017003",
            "telephone_number": "410-822-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 KERR AVE",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291343",
            "telephone_number": "410-479-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNEL MARKER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "CASSELL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-822-4619",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "588251601",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.