Active NPI
Addiction Treatment of Maryland LLC
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05 | Medicaid | MD | |
| 01 | Other | PRIVATE INSURANCE |
Other names 1
- Addiction Treatment of Maryland
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2177159 | Addiction Treatment of Maryland | Certificate of waiver | Jan 6, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Addiction Treatment of Maryland LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Essex, MD
- NPI 1649009234
-
- Mental Illness Community Based Residential Treatment Facility
- Pasadena, MD
- NPI 1679321954
-
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
- NPI 1972218725
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.
-
- Family Nurse Practitioner
- Baltimore, MD
- NPI 1194281451
-
- Family Nurse Practitioner
- Nottingham, MD
- NPI 1558606343
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.