Organization Active NPI

Maryland Institute College of Art

  • Health Service Clinic/Center
  • Baltimore, MD
National Provider Identifier
1659090843
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MARYLAND INSTITUTE COLLEGE OF ART
Practice address
1501 W Mount Royal Ave
2ND Floor
Baltimore, MD 21217-4287
Phone
(410) 225-4118
NPI assigned
Aug 23, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Dr. Judith M Kinney, PHD
Title
VP Student Health and Wellness
Phone
(410) 225-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1501 W Mount Royal Ave
2ND Floor
Baltimore, MD 21217-4287

Mailing address

1401 W Mount Royal Ave BLDG Suite262
Baltimore, MD 21217-4245
Phone (410) 225-2422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230106002158 MD Part B Supplier - Clinic/Group Practice 8921478942 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2269224Maryland Institute College of Art Student Health C1501 W Mount Royal Avenue, Baltimore, MD 21217Certificate of waiverSep 21, 2026

National Provider Directory

National Provider Directory

Locations

1401 W Mount Royal Ave
Ste 262
Baltimore, MD 21217

1501 W Mount Royal Ave
Baltimore, MD 21217
Phone (410) 225-1325

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1659090843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W MOUNT ROYAL AVE BLDG SUITE262",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174245",
            "telephone_number": "410-225-2422",
            "fax_number": "410-225-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W MOUNT ROYAL AVE",
            "address_2": "2ND FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174287",
            "telephone_number": "410-225-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND INSTITUTE COLLEGE OF ART",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP STUDENT HEALTH AND WELLNESS",
        "authorized_official_telephone_number": "410-225-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "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 Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.