NPIMap

Organization Active NPI

Impacting Tomorrow Health Center

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1578910907
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
IMPACTING TOMORROW HEALTH CENTER
Practice address
1120 N Charles St
Suite 500
Baltimore, MD 21201-5592
Phone
(443) 218-8282
Fax
(443) 451-8344
NPI assigned
May 16, 2016
Last updated
May 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Dr. Dermell Marvin Brunson
Title
President & Strategist
Phone
(410) 961-6256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1120 N Charles St
Suite 500
Baltimore, MD 21201-5592

Mailing address

PO Box 4736
Baltimore, MD 21211-0736
Phone (443) 218-8282

Other names 1

  • ITHC Other name

National Provider Directory

National Provider Directory
Tax ID family
Impacting Tomorrow Health Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1578910907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4736",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212110736",
            "telephone_number": "443-218-8282",
            "fax_number": "443-451-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N CHARLES ST",
            "address_2": "SUITE 500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015592",
            "telephone_number": "443-218-8282",
            "fax_number": "443-451-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACTING TOMORROW HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "BRUNSON",
        "authorized_official_first_name": "DERMELL",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "PRESIDENT & STRATEGIST",
        "authorized_official_telephone_number": "410-961-6256",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ITHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 16, 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.