NPIMap

Organization Active NPI

Transformation Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1760031397
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TRANSFORMATION HEALTH, LLC
Practice address
312 Martin Luther King Jr Blvd
103 & 300
Baltimore, MD 21201-1221
Phone
(443) 759-9592
Fax
(443) 815-0988
NPI assigned
Sep 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Monica Laney Boddie, LCSW-CNPI 1396977872
Title
Ceo
Phone
(443) 224-3002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

312 Martin Luther King Jr Blvd
103 & 300
Baltimore, MD 21201-1221

Mailing address

312 Martin Luther King Jr Blvd
103 & 300
Baltimore, MD 21201-1221
Phone (443) 224-3002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210722000172 MD Part B Supplier - Clinic/Group Practice 0345643805 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
Transformation Health LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

312 Martin Luther King Jr Blvd
Ste 300
Baltimore, MD 21201
Phone (443) 759-9592

312 Martin Luther King Jr Blvd
Ste 103
Baltimore, MD 21201
Phone (443) 759-9592

Practitioners & affiliated clinicians

Practitioners 3

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": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1760031397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MARTIN LUTHER KING JR BLVD",
            "address_2": "103 & 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011221",
            "telephone_number": "443-224-3002",
            "fax_number": "443-815-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MARTIN LUTHER KING JR BLVD",
            "address_2": "103 & 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011221",
            "telephone_number": "443-759-9592",
            "fax_number": "443-815-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "BODDIE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "LANEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-224-3002",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.