Organization Active NPI

Humanim Mental Health Services

  • Multi-Specialty Clinic/Center
  • Eldersburg, MD
National Provider Identifier
1629094990
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HUMANIM MENTAL HEALTH SERVICES
Practice address
6505 Ridenour Way E # 1a
Eldersburg, MD 21784-6557
Phone
(443) 300-6362
Fax
(667) 400-6110
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Gale Britton
Title
Dir of Billing
Phone
(410) 381-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

6505 Ridenour Way E # 1a
Eldersburg, MD 21784-6557

Mailing address

PO Box 64275
Baltimore, MD 21264-4275
Phone (410) 381-7171

Other identifiers 1

IdentifierTypeStateIssuer
405765100MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1629094990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64275",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644275",
            "telephone_number": "410-381-7171",
            "fax_number": "410-381-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 RIDENOUR WAY E # 1A",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846557",
            "telephone_number": "443-300-6362",
            "fax_number": "667-400-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANIM MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "GALE",
        "authorized_official_title_or_position": "DIR OF BILLING",
        "authorized_official_telephone_number": "410-381-7171"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405765100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.