NPIMap

Organization Active NPI

University of Maryland Medical Center, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
National Provider Identifier
1508065178
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
903649 Issued in MD
Legal business name
UNIVERSITY OF MARYLAND MEDICAL CENTER, LLC
Practice address
1001 W Pratt St
2ND Floor
Baltimore, MD 21223-2682
Phone
(717) 428-0552
Fax
(717) 428-0518
NPI assigned
Jul 13, 2007
Organization subpart
Yes
Parent organization
UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
George Sprinkel
Title
Cfo
Phone
(410) 328-1501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 903649 MD Primary
Community/Behavioral Health Agency 251S00000X 14303 MD

Addresses

Primary practice location

1001 W Pratt St
2ND Floor
Baltimore, MD 21223-2682

Mailing address

PO Box 62498
Baltimore, MD 21264-2498
Phone (717) 428-0552

Other identifiers 2

IdentifierTypeStateIssuer
418649400MedicaidMD
850027400MedicaidMD

Other names 1

  • UMMC Deaf Addiction Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2063306Ummc - Deaf Addiction Services1001 West Pratt Street, Baltimore, MD 21223Certificate of waiverJul 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Univ of MD Med Ctr LLC17 organizations share this tax ID, including this one
Part of
University of MD Commun

Other organizations with this tax ID 16

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

View all 16

Locations

1001 W Pratt St
Fl 2
Baltimore, MD 21223
Phone (443) 462-3400

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1508065178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62498",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212642498",
            "telephone_number": "717-428-0552",
            "fax_number": "717-428-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W PRATT ST",
            "address_2": "2ND FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232682",
            "telephone_number": "717-428-0552",
            "fax_number": "717-428-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION",
        "enumeration_date": "2007-07-13",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "SPRINKEL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-328-1501"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "903649",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "14303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418649400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "850027400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMMC Deaf Addiction Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.