Organization Active NPI

Mario Conliffe

  • Community/Behavioral Health Agency
  • Eldersburg, MD
National Provider Identifier
1518319201
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LGP6839 Issued in MD
Legal business name
MARIO CONLIFFE
Practice address
1425 Liberty Rd
Suite 206
Eldersburg, MD 21784-6420
Phone
(240) 319-3917
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Mr. Mario Conliffe, MSNPI 1144672833
Title
Therapist
Phone
(240) 319-3917

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
Community/Behavioral Health Agency 251S00000X LGP6839 MD Primary

Addresses

Primary practice location

1425 Liberty Rd
Suite 206
Eldersburg, MD 21784-6420

Mailing address

4470 Woodsman Dr
731
Hampstead, MD 21074-3127
Phone (240) 319-3917

National Provider Directory

National Provider Directory

Locations

1425 Liberty Rd
Ste 206
Eldersburg, MD 21784
Phone (240) 319-3917

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": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1518319201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 WOODSMAN DR",
            "address_2": "731",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210743127",
            "telephone_number": "240-319-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 LIBERTY RD",
            "address_2": "SUITE 206",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846420",
            "telephone_number": "240-319-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO CONLIFFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "CONLIFFE",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "240-319-3917",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LGP6839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.