NPIMap

Organization Active NPI

Patricia's Place Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1639837164
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PATRICIA'S PLACE INC
Practice address
3234 Belair Rd FL 1
Baltimore, MD 21213-1228
Phone
(443) 468-1816
NPI assigned
Dec 1, 2021
Organization subpart
Yes
Parent organization
PATRICIA'S PLACE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Mrs. Tiffani A Wilson
Title
President
Phone
(443) 468-1816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

3234 Belair Rd FL 1
Baltimore, MD 21213-1228

Mailing address

3234 Belair Rd FL 1
Baltimore, MD 21213-1228
Phone (443) 468-1816

Other practice location 1

3234 Belair Rd
Baltimore, MD 21213-1228
Phone (301) 979-7501

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.ringcentral.com

National Provider Directory

National Provider Directory
Tax ID family
Patricia's Place Inc5 organizations share this tax ID, including this one
Part of
Patricia's Place Inc

Other organizations with this tax ID 4

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

Locations

3234 Belair Rd
Fl 1
Baltimore, MD 21213
Phone (301) 979-7501

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1639837164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3234 BELAIR RD FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131228",
            "telephone_number": "443-468-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 BELAIR RD FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131228",
            "telephone_number": "443-468-1816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3234 Belair Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212131228",
            "country_code": "US",
            "telephone_number": "301-979-7501",
            "fax_number": "301-979-7638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATRICIA'S PLACE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATRICIA'S PLACE INC",
        "enumeration_date": "2021-12-01",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TIFFANI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-468-1816",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ringcentral.com",
            "affiliation": "N",
            "endpointDescription": "Ring Central can be used for telehealth and secure messaging",
            "address_1": "3234 Belair Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212131228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 5, 2022; 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.