NPIMap

Organization Active NPI

Warwick Manor Behavioral Health, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • East New Market, MD
National Provider Identifier
1669648390
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
15773 Issued in MD
Legal business name
WARWICK MANOR BEHAVIORAL HEALTH, INC.
Practice address
3680 Warwick Rd
East New Market, MD 21631-1420
Phone
(800) 344-6423
Fax
(410) 943-3976
NPI assigned
May 2, 2008
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Phyliss Johnson
Title
Director of Operations
Phone
(800) 344-6423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 15773 MD Primary

Addresses

Primary practice location

3680 Warwick Rd
East New Market, MD 21631-1420

Mailing address

3680 Warwick Rd
East New Market, MD 21631-1420
Phone (800) 344-6423

Other identifiers 1

IdentifierTypeStateIssuer
631501100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Warwick Manor Behavioral Health Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1669648390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 WARWICK RD",
            "city": "EAST NEW MARKET",
            "state": "MD",
            "postal_code": "216311420",
            "telephone_number": "800-344-6423",
            "fax_number": "410-943-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 WARWICK RD",
            "city": "EAST NEW MARKET",
            "state": "MD",
            "postal_code": "216311420",
            "telephone_number": "800-344-6423",
            "fax_number": "410-943-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARWICK MANOR BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PHYLISS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "18003446423"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MD",
            "license": "15773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631501100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East New Market, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.