Active NPI
Support by Design
- Community/Behavioral Health Agency
- Baltimore, MD
National Provider Identifier
1740720697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SUPPORT BY DESIGN
- Practice address
- 3013 Montebello Ter
Baltimore, MD 21214-3311 - Phone
- (443) 927-7856
- NPI assigned
- Feb 26, 2017
- 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
- Damon West
- Title
- Ceo
- Phone
- (443) 927-7856
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3013 Montebello Ter
Baltimore, MD 21214-3311
Mailing address
722 Dulaney Valley Rd
Towson, MD 21204-5109
Phone (443) 927-7856
National Provider Directory
National Provider Directory- Tax ID family
- Support by Design
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1982239174
Locations
3013 Montebello Ter
Baltimore, MD 21214
Phone (443) 449-6532
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1710375795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488067200000",
"number": "1740720697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 DULANEY VALLEY RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212045109",
"telephone_number": "443-927-7856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3013 MONTEBELLO TER",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212143311",
"telephone_number": "443-927-7856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPORT BY DESIGN",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-26",
"last_updated": "2017-02-26",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "DAMON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-927-7856"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.