NPIMap

Organization Active NPI

Impacting Tomorrow Health Center

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1679073498
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IMPACTING TOMORROW HEALTH CENTER
Practice address
1120 N Charles St Ste 500
Baltimore, MD 21201-5518
Phone
(443) 218-8282
NPI assigned
Feb 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Dermell Brunson
Title
President
Phone
(410) 961-6256

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Community Health Clinic/Center 261QC1500X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1120 N Charles St Ste 500
Baltimore, MD 21201-5518

Mailing address

1120 N Charles St Ste 500
Baltimore, MD 21201-5518
Phone (443) 218-8282

Other names 1

  • ITHC, Co Other name

National Provider Directory

National Provider Directory
Tax ID family
Impacting Tomorrow Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1679073498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N CHARLES ST STE 500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015518",
            "telephone_number": "443-218-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N CHARLES ST STE 500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015518",
            "telephone_number": "443-218-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACTING TOMORROW HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BRUNSON",
        "authorized_official_first_name": "DERMELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-961-6256"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ITHC, Co",
            "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 17, 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.

Verify at the official NPI Registry.