Vincent G. Banks Center for Residential Substance Use Treatment

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

VINCENT G. BANKS CENTER FOR RESIDENTIAL SUBSTANCE USE TREATMENT

Practice address

12 E Eager St
Baltimore, MD 21202-2514

Phone

(410) 800-4226

NPI assigned

Sep 21, 2019

Organization subpart

No

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

Authorized official

Name

Mr. David Henry Thompson, LCPC

Title

Ceo

Phone

(410) 800-4226

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Vincent G Banks Center for Residential Substance Use Treatment3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• David'S Loft Clinical Program

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1720774631
  NPD tax ID
• Vincent G. Banks Center for Residential Substance Use Treatment

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1790426252
  NPD tax ID

Locations

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1629629670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184518",
            "telephone_number": "410-800-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E EAGER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022514",
            "telephone_number": "410-800-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT G. BANKS CENTER FOR RESIDENTIAL SUBSTANCE USE TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-21",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-800-4226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502387400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jan Ryan Viloria, FNP-BC
• Meenakshi Vimalananda, MD
• Valeria Isabel Vinatea Gorrindo, MD
• Vincent G Banks Center for Residential Substance Use Treatments LLC
• Vincent G. Banks Center for Residential Substance Use Treatment
• Vincent G. Banks Center for Residential Substance Use Treatment
• Vincent M. Notarangelo, MD, PA
• Elizabeth Kemmerer Vincent
• Jasmaude Vincent
• Margaret Louise Vincent, LCSW

• Substance Abuse Rehabilitation Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.