Organization Active NPI

Supportive Team of Restorative Management Behavioral Services

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1659076578
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUPPORTIVE TEAM OF RESTORATIVE MANAGEMENT BEHAVIORAL SERVICES
Practice address
5900 York Rd Ste 108
Baltimore, MD 21212-3023
Phone
(443) 869-2982
NPI assigned
Mar 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Tyra Alston
Title
Owner
Phone
(410) 982-5156

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

5900 York Rd Ste 108
Baltimore, MD 21212-3023

Mailing address

5900 York Rd Ste 108
Baltimore, MD 21212-3023
Phone (443) 869-2982

Other names 1

  • STORM Behavioral Services LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1659076578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 YORK RD STE 108",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123023",
            "telephone_number": "443-869-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 YORK RD STE 108",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123023",
            "telephone_number": "443-869-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE TEAM OF RESTORATIVE MANAGEMENT BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "TYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-982-5156"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STORM Behavioral Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STORM Behavioral Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 4, 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.