NPIMap

Organization Active NPI

Mercy Behavioral Health Center, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1679243158
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MERCY BEHAVIORAL HEALTH CENTER, INC
Practice address
5438 York Rd Ste 101
Baltimore, MD 21212-3837
Phone
(410) 323-2300
Fax
(443) 219-6640
NPI assigned
Sep 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Mr. Isiaka Bayowa Ibraheem, MSC
Title
Ceo
Phone
(443) 535-3485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

5438 York Rd Ste 101
Baltimore, MD 21212-3837

Mailing address

5438 York Rd Ste 101
Baltimore, MD 21212-3837
Phone (410) 323-2300

Other names 1

  • Mercy Behavioral Health Center, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Mercy Behavioral Health Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1679243158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5438 YORK RD STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123837",
            "telephone_number": "410-323-2300",
            "fax_number": "443-219-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5438 YORK RD STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123837",
            "telephone_number": "410-323-2300",
            "fax_number": "443-219-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY BEHAVIORAL HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "IBRAHEEM",
        "authorized_official_first_name": "ISIAKA",
        "authorized_official_middle_name": "BAYOWA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-535-3485",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Behavioral Health Center, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mercy Behavioral Health Center, Inc.",
            "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 Feb 13, 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.