Organization Active NPI

Aurora Behavioral Health System Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1629842836
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AURORA BEHAVIORAL HEALTH SYSTEM INC
Practice address
419 E Patapsco Ave
1St Floor
Baltimore, MD 21225-1845
Phone
(443) 854-7665
NPI assigned
Nov 8, 2023
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Segun Williams
Title
Ceo
Phone
(443) 854-7665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

419 E Patapsco Ave
1St Floor
Baltimore, MD 21225-1845

Mailing address

419 E Patapsco Ave
1St Floor
Baltimore, MD 21225-1845

National Provider Directory

National Provider Directory
Tax ID family
Aurora Behavioral Health System Inc3 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.

Locations

419 E Patapsco Ave
Ste 1
Baltimore, MD 21225
Phone (443) 854-7665

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1629842836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 E PATAPSCO AVE",
            "address_2": "1ST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 E PATAPSCO AVE",
            "address_2": "1ST FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251845",
            "telephone_number": "443-854-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA BEHAVIORAL HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SEGUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-854-7665"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.