Organization Active NPI

Chesapeake Youth Center

  • Psychiatric Hospital
  • Cambridge, MD
National Provider Identifier
1740227602
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
09011 Issued in MD
Legal business name
CHESAPEAKE YOUTH CENTER
Practice address
821 Fieldcrest Rd
Cambridge, MD 21613-9423
Phone
(410) 221-0288
Fax
(410) 228-9588
NPI assigned
Jun 1, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mary Blackwell
Title
Patient Accouts Director
Phone
(410) 221-0288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 09011 MD Primary
Psychiatric Residential Treatment Facility 323P00000X 09011 MD

Addresses

Primary practice location

821 Fieldcrest Rd
Cambridge, MD 21613-9423

Mailing address

821 Fieldcrest Rd
Cambridge, MD 21613-9423
Phone (410) 221-0288

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1740227602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 FIELDCREST RD",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216139423",
            "telephone_number": "410-221-0288",
            "fax_number": "410-228-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 FIELDCREST RD",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216139423",
            "telephone_number": "410-221-0288",
            "fax_number": "410-228-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE YOUTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PATIENT ACCOUTS DIRECTOR",
        "authorized_official_telephone_number": "410-221-0288"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MD",
            "license": "09011",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MD",
            "license": "09011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.