Organization Active NPI

Addiction Treatment of Maryland LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1609335702
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ADDICTION TREATMENT OF MARYLAND LLC
Practice address
9 Center PL
1St Floor
Baltimore, MD 21222-4362
Phone
(443) 904-8955
NPI assigned
Mar 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Christina Dimemmo
Title
Ceo
Phone
(443) 725-4062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

9 Center PL
1St Floor
Baltimore, MD 21222-4362

Mailing address

9 Center Place
1St Floor
Baltimore, MD 21222-4362
Phone (443) 376-6800

Other identifiers 2

IdentifierTypeStateIssuer
05MedicaidMD
01OtherPRIVATE INSURANCE

Other names 1

  • Addiction Treatment of Maryland Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250408000850 MD Part B Supplier - Clinic/Group Practice 8820512262 Receives reassigned benefits from 2 practitioners
Practice locations: Baltimore, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2177159Addiction Treatment of Maryland9 Center Place, First Floor, Baltimore, MD 21222Certificate of waiverJan 6, 2028

National Provider Directory

National Provider Directory
Tax ID family
Addiction Treatment of Maryland LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

9 Center Pl
Ste 1
Dundalk, MD 21222
Phone (443) 904-8955

9 Center Pl
Dundalk, MD 21222
Phone (410) 417-6868

521D Pulaski Hwy
Ste D
Joppa, MD 21085

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1609335702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CENTER PLACE",
            "address_2": "1ST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212224362",
            "telephone_number": "443-376-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CENTER PL",
            "address_2": "1ST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212224362",
            "telephone_number": "443-904-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION TREATMENT OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "DIMEMMO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-725-4062"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addiction Treatment of Maryland",
            "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 Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.