Active NPI
Sober Transition and Recovery Services
- Community/Behavioral Health Agency
- Baltimore, MD
National Provider Identifier
1750780979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LCA1877
- Legal business name
- SOBER TRANSITION AND RECOVERY SERVICES
- Practice address
- 3218 Belair Rd.
Baltimore, MD 21213 - Phone
- (443) 813-5677
- NPI assigned
- Aug 14, 2014
- 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
- Dr. Ozietta Taylor, PHD
- Title
- Ceo
- Phone
- (443) 813-5677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LCA1877 | MD | Primary |
Addresses
Primary practice location
3218 Belair Rd.
Baltimore, MD 21213
Mailing address
5417 Daywalt Avenue
Baltimore, MD 21206
Phone (443) 813-5677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Medicaid | MD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407974400000",
"number": "1750780979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5417 DAYWALT AVENUE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21206",
"telephone_number": "443-813-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3218 BELAIR RD.",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21213",
"telephone_number": "443-813-5677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOBER TRANSITION AND RECOVERY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-14",
"last_updated": "2014-08-14",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "OZIETTA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-813-5677",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MD",
"license": "LCA1877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000",
"state": "MD"
}
],
"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 Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.