NPIMap

Johns Hopkins Bayview Medical Center, Inc.

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Baltimore, MD

NPI 1639701956 · NPPES record last updated Feb 5, 2020

Key facts

NPI
1639701956
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC.
Practice address
5500 E Lombard St RM 1025
Baltimore, MD 21224-1731
Phone
(410) 550-0070
Fax
(410) 550-0112
NPI assigned
Feb 5, 2020
Organization subpart
No

Authorized official

Name
Pamela Tarris Owens
Title
Chief Compliance Officer
Phone
(410) 955-7930

Corporate family (same tax ID) 13

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

National Provider Directory

Tax ID family
Johns Hopkins Bayview Medical Center (14 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084P0804X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

5500 E Lombard St RM 1025
Baltimore, MD 21224-1731

Mailing address

4940 Eastern Avenue
Community Psychiatry Program Attn Tom Marshall
Baltimore, MD 21224

Other names

  • Child Satellite Mental Health Clinic Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 5, 2020.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1639701956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVENUE",
            "address_2": "COMMUNITY PSYCHIATRY PROGRAM ATTN TOM MARSHALL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 E LOMBARD ST RM 1025",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241731",
            "telephone_number": "410-550-0070",
            "fax_number": "410-550-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS HOPKINS BAYVIEW MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "TARRIS",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "410-955-7930"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child Satellite Mental Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

All providers in Baltimore, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

Sources for this page

Verify at the official NPI Registry.