Active NPI
Parker Psychiatric Services, Incorporated
- Addiction (Substance Use Disorder) Counselor
- Baltimore, MD
National Provider Identifier
1659843373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- PARKER PSYCHIATRIC SERVICES, INCORPORATED
- Practice address
- 940 Madison Ave Ste 202
Baltimore, MD 21201-2113 - Phone
- (410) 777-8710
- Fax
- (443) 434-0110
- NPI assigned
- Dec 19, 2018
- Organization subpart
- Yes
- Parent organization
- PARKER PSYCHIATRIC SERVICES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Parker
- Title
- Ceo
- Phone
- (410) 440-0317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
940 Madison Ave Ste 202
Baltimore, MD 21201-2113
Mailing address
940 Madison Ave Ste 202
Baltimore, MD 21201-2113
Phone (410) 440-0317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 422901100 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Parker Psychiatric Services
- Part of
- Parker Psychiatric Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Preferred Provider Organization
- Baltimore, MD
- NPI 1669881272
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1912478900
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.
-
- Preferred Provider Organization
- Baltimore, MD
- NPI 1669881272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545177600000",
"number": "1659843373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 MADISON AVE STE 202",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212012113",
"telephone_number": "410-440-0317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 MADISON AVE STE 202",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212012113",
"telephone_number": "410-777-8710",
"fax_number": "443-434-0110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKER PSYCHIATRIC SERVICES, INCORPORATED",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PARKER PSYCHIATRIC SERVICES, INC.",
"enumeration_date": "2018-12-19",
"last_updated": "2018-12-19",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-440-0317",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "422901100",
"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 Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.