Organization Active NPI

Canton Child and Family Therapy Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1508534686
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CANTON CHILD AND FAMILY THERAPY CLINIC LLC
Practice address
2700 Lighthouse PT E Ste 270
Baltimore, MD 21224-4791
Phone
(443) 589-5848
NPI assigned
Sep 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Dr. Vamsi C Tummalachetty, PSYDNPI 1003472200
Title
Founder/Lead Psychologist
Phone
(443) 300-8255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2700 Lighthouse PT E Ste 270
Baltimore, MD 21224-4791

Mailing address

2700 Lighthouse PT E Ste 270
Baltimore, MD 21224-4791
Phone (443) 300-8255

National Provider Directory

National Provider Directory

Locations

2700 Lighthouse Pt E
Ste 270
Baltimore, MD 21224
Phone (443) 589-5848

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1508534686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 LIGHTHOUSE PT E STE 270",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244791",
            "telephone_number": "443-300-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 LIGHTHOUSE PT E STE 270",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244791",
            "telephone_number": "443-589-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON CHILD AND FAMILY THERAPY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "TUMMALACHETTY",
        "authorized_official_first_name": "VAMSI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FOUNDER/LEAD PSYCHOLOGIST",
        "authorized_official_telephone_number": "443-300-8255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 3, 2026; 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.