Organization Active NPI

Support by Design

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1740720697
Registry record updated Feb 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Feb 26, 2017

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)CodeLicenseStatePrimary
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 Design2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.