Active NPI
Humanim Mental Health Services
- Multi-Specialty Clinic/Center
- Eldersburg, MD
National Provider Identifier
1629094990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405765100 | Medicaid | MD |
National Provider Directory
National Provider DirectoryNPI 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.