NPIMap

Organization Active NPI

Chesapeake Wellness Collaborative LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1609215540
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHESAPEAKE WELLNESS COLLABORATIVE LLC
Practice address
400 W Franklin St Ste 101
Baltimore, MD 21201-2117
Phone
(410) 589-0999
NPI assigned
Jun 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Deborah Stevens-Jones, LGSW,MPH, CPRP
Title
Ceo/Program Director
Phone
(410) 589-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MD Primary

Addresses

Primary practice location

400 W Franklin St Ste 101
Baltimore, MD 21201-2117

Mailing address

400 W Franklin St Ste 101
Baltimore, MD 21201-2117
Phone (410) 589-0999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1609215540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W FRANKLIN ST STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012117",
            "telephone_number": "410-589-0999",
            "fax_number": "800-931-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W FRANKLIN ST STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012117",
            "telephone_number": "410-589-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE WELLNESS COLLABORATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "STEVENS-JONES",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-589-0999",
        "authorized_official_credential": "LGSW,MPH, CPRP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "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 Apr 4, 2018; 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.