Mending Minds With S.W.a.T

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MENDING MINDS WITH S.W.A.T

Practice address

150 S Azar Ave
Glen Burnie, MD 21060-6505

Phone

(410) 684-3424

NPI assigned

Mar 29, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Tandra Lynn Jones, M.ED

Title

Ceo/Program Director

Phone

(410) 841-8161

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1629772090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 FURNACE BRANCH RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210611415",
            "telephone_number": "410-841-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S AZAR AVE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606505",
            "telephone_number": "410-684-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING MINDS WITH S.W.A.T",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TANDRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-841-8161",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medstar Medical Group, LLC
• Tiffany A Megary, M.D.
• Luis Fernando Mejia, COTA
• Dominick Joseph Memoli, MD
• Michael William Mendelson
• Wade Howard Menendez
• Yemesrach Tesfaye Mengesha, MSN, AGNP-C
• Ellen Mensah
• Mental Health Rehabilitation Services
• Tara Meredith, DPT

• Community/Behavioral Health Agency in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.