NPIMap

Organization Active NPI

One Promise Behavioral Health

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1740871870
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ONE PROMISE BEHAVIORAL HEALTH
Doing business as
One Promise Behavioral Health
Practice address
4314 Hamilton Ave
Baltimore, MD 21206-3641
Phone
(443) 835-2681
NPI assigned
Feb 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Craig Lippens
Title
Program Administrator
Phone
(443) 835-2681

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

4314 Hamilton Ave
Baltimore, MD 21206-3641

Mailing address

6211 Belair Rd
Baltimore, MD 21206-1942
Phone (443) 835-2681

Other identifiers 1

IdentifierTypeStateIssuer
300136900MedicaidMD

Other names 1

  • One Promise Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
One Promise Behavioral Health18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1740871870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061942",
            "telephone_number": "443-835-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 HAMILTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212063641",
            "telephone_number": "443-835-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE PROMISE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "LIPPENS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "443-835-2681"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300136900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Promise Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "One Promise Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 1, 2022; 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.