Organization Active NPI

Granite House, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westminster, MD
National Provider Identifier
1760408165
Registry record updated Aug 8, 2007
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
GRANITE HOUSE, INC
Practice address
288 E Green St
Westminster, MD 21157-5410
Phone
(410) 876-3007
Fax
(410) 751-7797
NPI assigned
Jul 15, 2006
Last updated
Aug 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Mr. Spencer L Gear, LCSW-C
Title
Executive Director
Phone
(410) 876-3007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MD Primary
Rehabilitation Clinic/Center 261QR0400X MD

Addresses

Primary practice location

288 E Green St
Westminster, MD 21157-5410

Mailing address

288 E Green St
Westminster, MD 21157-5410
Phone (410) 876-3007

Other identifiers 2

IdentifierTypeStateIssuer
T595OtherMDBLUE CROSS BLUE SHIELD FE
2095968OtherMDAETNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1760408165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 E GREEN ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575410",
            "telephone_number": "410-876-3007",
            "fax_number": "410-751-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 E GREEN ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575410",
            "telephone_number": "410-876-3007",
            "fax_number": "410-751-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "GEAR",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-876-3007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FE",
            "identifier": "T595",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2095968",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.