NPIMap

Organization Active NPI

Drug Treatment Ctr - Psych. Assoc.

  • Addiction Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1659389674
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
DRUG TREATMENT CTR - PSYCH. ASSOC.
Practice address
701 W Pratt St
3Rd FLR.
Baltimore, MD 21201-1023
Phone
(410) 328-2539
Fax
(410) 328-8552
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Anthony Bibbo
Title
Senior Administrator
Phone
(410) 328-6771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0802X Primary

Addresses

Primary practice location

701 W Pratt St
3Rd FLR.
Baltimore, MD 21201-1023

Mailing address

701 W Pratt St
3Rd FLR.
Baltimore, MD 21201-1023
Phone (410) 328-2539

Other identifiers 1

IdentifierTypeStateIssuer
401610600MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Drug Treatment Ctr - Psych Assoc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1659389674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W PRATT ST",
            "address_2": "3RD FLR.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011023",
            "telephone_number": "410-328-2539",
            "fax_number": "410-328-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W PRATT ST",
            "address_2": "3RD FLR.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011023",
            "telephone_number": "410-328-2539",
            "fax_number": "410-328-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG TREATMENT CTR - PSYCH. ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BIBBO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "SENIOR ADMINISTRATOR",
        "authorized_official_telephone_number": "410-328-6771"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401610600",
            "state": "MD"
        }
    ],
    "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 Jun 24, 2008; 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.