Chrysti S Maculley, ADT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

212 Blue Ball Ave
Elkton, MD 21921-5222

Phone

(104) 620-6077

NPI assigned

Apr 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ats of Cecil County, LLC

  • Methadone Clinic
  • Baltimore, MD
  • NPI 1033507827
  NPD (past)

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1609518208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 REEAND LN",
            "city": "CHURCH HILL",
            "state": "MD",
            "postal_code": "216231439",
            "telephone_number": "302-359-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BLUE BALL AVE",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215222",
            "telephone_number": "104-620-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACULLEY",
        "first_name": "CHRYSTI",
        "middle_name": "S",
        "credential": "ADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chrysti.maculley@ctcprograms.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "212 Blue Ball Ave",
            "city": "Elkton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "219215222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grace Ly
• M Management Group, LLC
• M Management Group, LLC
• M Medical Group, Inc.
• Courtney Ann Macdowell, LMSW
• Rosemary Madl-Young, PHD,
• April C Maenner, LCSW-C
• Joy Ponferrada Magee, FNP- BC
• Magical Smiles Maryland LLC
• Jeffrey P Mainolfi, O.D.

• Addiction (Substance Use Disorder) Counselor in Elkton, MD
• Providers in Elkton, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.