Active NPI
Lifemark Inc.
- Adult Mental Health Clinic/Center
- Salisbury, MD
National Provider Identifier
1578264636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- LIFEMARK INC.
- Doing business as
- LifeMark Inc
- Practice address
- 1342 S Division St Ste 401
Salisbury, MD 21804-6921 - Phone
- (443) 859-8584
- Fax
- (443) 859-8496
- NPI assigned
- Mar 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Radish
- Title
- Office Manager/Billing
- Phone
- (443) 859-8584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
1342 S Division St Ste 401
Salisbury, MD 21804-6921
Mailing address
1342 S Division St Ste 401
Salisbury, MD 21804-6921
Phone (443) 859-8584
Other names 1
- LifeMark Inc
National Provider Directory
National Provider Directory- Tax ID family
- Lifemark Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Salisbury, MD
- NPI 1982040077
Locations
1342 S Division St
#401
Salisbury, MD 21804
Phone (410) 546-2133
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Salisbury, MD
- NPI 1821616160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678838400000",
"number": "1578264636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1342 S DIVISION ST STE 401",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218046921",
"telephone_number": "443-859-8584",
"fax_number": "443-859-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1342 S DIVISION ST STE 401",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218046921",
"telephone_number": "443-859-8584",
"fax_number": "443-859-8496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEMARK INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-15",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A",
"authorized_official_last_name": "RADISH",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "OFFICE MANAGER/BILLING",
"authorized_official_telephone_number": "443-859-8584"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LifeMark Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.