NPIMap

Organization Active NPI

M&M Behavioral Health Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Burnie, MD
National Provider Identifier
1548754575
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
BH000807 Issued in MD
Legal business name
M&M BEHAVIORAL HEALTH SOLUTIONS
Practice address
1406 Crain Hwy S Ste 102, 104, 106
Glen Burnie, MD 21061-4086
Phone
(410) 766-6624
Fax
(410) 766-0240
NPI assigned
Jun 22, 2018
Organization subpart
Yes
Parent organization
M&M BEHAVIORAL HEALTH SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Ann McCoy
Title
Clinical Director
Phone
(410) 766-6624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X BH000807 MD Primary

Addresses

Primary practice location

1406 Crain Hwy S Ste 102, 104, 106
Glen Burnie, MD 21061-4086

Mailing address

1406 Crain Hwy S Ste 104
Glen Burnie, MD 21061-4086
Phone (410) 766-6624

Other identifiers 1

IdentifierTypeStateIssuer
BH000807MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address director.mmbhs@mmbhs.com

National Provider Directory

National Provider Directory
Tax ID family
MM Behavioral HLTH Sol4 organizations share this tax ID, including this one
Part of
MM Behavioral HLTH Sol

Other organizations with this tax ID 3

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

Locations

1406 Crain Hwy S
Ste 102
Glen Burnie, MD 21061
Phone (410) 766-6624

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1548754575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 CRAIN HWY S STE 104",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614086",
            "telephone_number": "410-766-6624",
            "fax_number": "410-766-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CRAIN HWY S STE 102, 104, 106",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614086",
            "telephone_number": "410-766-6624",
            "fax_number": "410-766-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M BEHAVIORAL HEALTH SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M&M BEHAVIORAL HEALTH SOLUTIONS",
        "enumeration_date": "2018-06-22",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "410-766-6624"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "BH000807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH000807",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "director.mmbhs@mmbhs.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1406 Crain Hwy S Ste 104",
            "city": "Glen Burnie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210614086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.