NPIMap

Organization Active NPI

Cornerstone Clinic

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
National Provider Identifier
1508197120
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CORNERSTONE CLINIC
Practice address
4940 Eastern Ave
Jhbmc- MFL Building, Suite 353E
Baltimore, MD 21224-2735
Phone
(410) 550-7680
NPI assigned
Jan 21, 2010
Last updated
Jan 21, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
JOHNS HOPKINS UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Wan-Fang Taylor
Title
Director a/R Operations
Phone
(410) 933-2063

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

4940 Eastern Ave
Jhbmc- MFL Building, Suite 353E
Baltimore, MD 21224-2735

Mailing address

PO Box 64260
Baltimore, MD 21264-4260
Phone (410) 933-2063

National Provider Directory

National Provider Directory
Tax ID family
Johns Hop Univ Inter Me439 organizations share this tax ID, including this one
Part of
Johns Hop Univ Inter Me

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4940 Eastern Ave
Ste 353E
Baltimore, MD 21224
Phone (410) 550-7680

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1508197120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64260",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644260",
            "telephone_number": "410-933-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE",
            "address_2": "JHBMC- MFL BUILDING, SUITE 353E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "410-550-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNS HOPKINS UNIVERSITY",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "WAN-FANG",
        "authorized_official_title_or_position": "DIRECTOR A/R OPERATIONS",
        "authorized_official_telephone_number": "410-933-2063"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 21, 2010; 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.