NPIMap

Organization Active NPI

Agate Integrated and Behavioral Healthcare Services, Inc

  • Primary Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1528783404
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICES, INC
Practice address
3216 Greenmount Ave
Baltimore, MD 21218-3438
Phone
(240) 515-4868
Fax
(443) 885-9840
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Mr. Jimoh A Adebayo
Title
Ceo
Phone
(240) 515-4868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3216 Greenmount Ave
Baltimore, MD 21218-3438

Mailing address

3216 Greenmount Ave
Baltimore, MD 21218-3438
Phone (240) 515-4868

National Provider Directory

National Provider Directory
Tax ID family
Agate Integrated and Behavioral Healthcare Services Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1528783404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 GREENMOUNT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183438",
            "telephone_number": "240-515-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 GREENMOUNT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183438",
            "telephone_number": "240-515-4868",
            "fax_number": "443-885-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "ADEBAYO",
        "authorized_official_first_name": "JIMOH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-515-4868",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Feb 24, 2025; 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.