NPIMap

Organization Active NPI

Greater Baltimore Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1730717745
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GREATER BALTIMORE BEHAVIORAL HEALTH SERVICES LLC
Practice address
402 E 25TH St FL 1
Baltimore, MD 21218-5304
Phone
(410) 889-3000
Fax
(410) 889-3003
NPI assigned
Mar 27, 2020
Last updated
Mar 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Mr. Tasleem T Lawal
Title
Administrator
Phone
(410) 971-6064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

402 E 25TH St FL 1
Baltimore, MD 21218-5304

Mailing address

402 E 25TH St FL 1
Baltimore, MD 21218-5304

Other identifiers 1

IdentifierTypeStateIssuer
4108893000MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Email Direct

National Provider Directory

National Provider Directory
Tax ID family
Greater Baltimore Behavioral Health Services LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

402 E 25th St
Fl 1
Baltimore, MD 21218
Phone (410) 889-3000

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1730717745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E 25TH ST FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E 25TH ST FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185304",
            "telephone_number": "410-889-3000",
            "fax_number": "410-889-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BALTIMORE BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "LAWAL",
        "authorized_official_first_name": "TASLEEM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-971-6064",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4108893000",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Email",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "402 E 25th St Fl 1",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212185304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Mar 27, 2020; 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.