NPIMap

Organization Active NPI

MTJF Recovery and Medical Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1659155125
Registry record updated Aug 25, 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
MTJF RECOVERY AND MEDICAL SERVICES INC.
Practice address
830 Guilford Ave
Baltimore, MD 21202-3707
Phone
(443) 847-3749
NPI assigned
Aug 24, 2023
Organization subpart
Yes
Parent organization
MTJF RECOVERY AND MEDICAL SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Mrs. Shontel Greene, RN
Title
Ceo
Phone
(443) 847-3749

Specialties & licenses 1

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

Addresses

Primary practice location

830 Guilford Ave
Baltimore, MD 21202-3707

Mailing address

830 Guilford Ave
Baltimore, MD 21202-3707

Other names 1

  • Outpatient Mental health center Other name

National Provider Directory

National Provider Directory
Tax ID family
MTJF Recovery and Medical Services Inc7 organizations share this tax ID, including this one
Part of
MTJF Recovery and Medical Services Inc

Other organizations with this tax ID 6

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1659155125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 GUILFORD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 GUILFORD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023707",
            "telephone_number": "443-847-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTJF RECOVERY AND MEDICAL SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MTJF RECOVERY AND MEDICAL SERVICES INC",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "SHONTEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-847-3749",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "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": [
        {
            "organization_name": "Outpatient Mental health center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 25, 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.