NPIMap

Organization Active NPI

Connected Care Behavioral Health LLC

  • Clinical Social Worker
  • Owings Mills, MD
National Provider Identifier
1700538717
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CONNECTED CARE BEHAVIORAL HEALTH LLC
Practice address
9199 Reisterstown Rd Ste 202B
Owings Mills, MD 21117-4579
Phone
(410) 382-8741
NPI assigned
Jan 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Ovadia GolfeizNPI 1932724887
Title
LCSW-C
Phone
(410) 382-8741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9199 Reisterstown Rd Ste 202B
Owings Mills, MD 21117-4579

Mailing address

3106 Northbrook Rd
Pikesville, MD 21208-4523
Phone (410) 382-8741

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1700538717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 NORTHBROOK RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084523",
            "telephone_number": "410-382-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD STE 202B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174579",
            "telephone_number": "410-382-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED CARE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "GOLFEIZ",
        "authorized_official_first_name": "OVADIA",
        "authorized_official_title_or_position": "LCSW-C",
        "authorized_official_telephone_number": "410-382-8741"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.