Active NPI
Achieving Wellness Center LLC
- Community/Behavioral Health Agency
- Baltimore, MD
National Provider Identifier
1720622103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ACHIEVING WELLNESS CENTER LLC
- Practice address
- 4307 W Forest Park Ave
Baltimore, MD 21207-7451 - Phone
- (443) 570-4837
- NPI assigned
- Oct 29, 2019
- Last updated
- Oct 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark A Bernard, LMSW, CAC-AD
- Title
- Manager
- Phone
- (443) 570-4837
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
4307 W Forest Park Ave
Baltimore, MD 21207-7451
Mailing address
2513 Thornberry Dr
Edgewood, MD 21040-2829
Phone (443) 570-4837
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1992225411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572307200000",
"number": "1720622103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2513 THORNBERRY DR",
"city": "EDGEWOOD",
"state": "MD",
"postal_code": "210402829",
"telephone_number": "443-570-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4307 W FOREST PARK AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212077451",
"telephone_number": "443-570-4837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACHIEVING WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-29",
"last_updated": "2019-10-29",
"status": "A",
"authorized_official_last_name": "BERNARD",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "443-570-4837",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMSW, CAC-AD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Sahaja Acharya, M.D.
- Achieve Behavioral Health Services LLC
- Achievements Occupational Therapy (Sora Wolf, OTR/L)
- Achievements Therapy Services LLC (Achievements)
- Achievements Therapy Services LLC
- Nkemdilim Eucheria Achike
- Stephen Achuff, M.D.
- Alice D Ackerman, MD
- Amy Sara Ackerman
- Laura Kay Ackerman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.