NPIMap

Organization Active NPI

Free Baltimore, LLC

  • Community/Behavioral Health Agency
  • Waldorf, MD
National Provider Identifier
1730966169
Registry record updated Mar 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FREE BALTIMORE, LLC
Doing business as
Wholistic Behavioral Health
Practice address
3261 Old Washington Rd Ste 2020
Waldorf, MD 20602-3231
Phone
(240) 229-6417
NPI assigned
Sep 11, 2023
Organization subpart
Yes
Parent organization
FREE BALTIMOREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2024

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

Authorized official

Name
Northwest Registered Agent
Title
Registered Agent
Phone
(509) 768-2249

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

3261 Old Washington Rd Ste 2020
Waldorf, MD 20602-3231

Mailing address

1120 N Charles St Ste 303
Baltimore, MD 21201-5592

Other names 1

  • Wholistic Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Free Baltimore LLC9 organizations share this tax ID, including this one
Part of
Free Baltimore LLC

Other organizations with this tax ID 8

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": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710028800000",
    "number": "1730966169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N CHARLES ST STE 303",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 OLD WASHINGTON RD STE 2020",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023231",
            "telephone_number": "240-229-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE BALTIMORE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREE BALTIMORE",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A",
        "authorized_official_last_name": "AGENT",
        "authorized_official_first_name": "NORTHWEST",
        "authorized_official_middle_name": "REGISTERED",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "509-768-2249"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wholistic Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2024; 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.