Bayside Behavioral Health of Annapolis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BAYSIDE BEHAVIORAL HEALTH OF ANNAPOLIS

Practice address

134 Holiday CT
Suite 302
Annapolis, MD 21401-7008

Phone

(410) 266-1600

NPI assigned

Sep 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Melanie Ogunmefun

Title

Medical Director

Phone

(410) 266-1600

Specialties & licenses 1

Addresses

Tax ID family

Bayside Behavioral Health Clinic of Annapolis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bayside Behavioral Health Clinic of Annapolis

  • Clinical Social Worker
  • Annapolis, MD
  • NPI 1700137643
  NPD tax ID

Locations

Practitioners 1

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

• Adeleke A. Ogunmefun, M.D.

  • Psychiatry Physician
  • Annapolis, MD
  • NPI 1982668265
  NPD (past)

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1548511686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 225",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211230225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HOLIDAY CT",
            "address_2": "SUITE 302",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017008",
            "telephone_number": "410-266-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE BEHAVIORAL HEALTH OF ANNAPOLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "OGUNMEFUN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-266-1600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Lou Bayliss, RN
• Maseray Bayoh
• Bayshore Medical Group
• Bayside Behavioral Health Clinic of
• Bayside Behavioral Health Clinic of Annapolis
• Baywoods Cooperative Housing Corporation
• Carolina Baz, MD
• Be Strong and Courageous Therapy
• Amanda Marie Beal, DPT
• Nell Beal, LCPC

• Clinical Social Worker in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.