NPIMap

Organization Active NPI

Comptroller of Maryland Central Payroll Bureau

  • Psychiatric Hospital
  • Baltimore, MD
National Provider Identifier
1760468623
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
30072 Issued in MD
Legal business name
COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Practice address
630 W Fayette St
Baltimore, MD 21201
Phone
(410) 209-6204
Fax
(410) 209-6374
NPI assigned
Dec 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Mr. Archie Wallace
Title
Chief Executive Officer
Phone
(410) 209-6201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 30072 MD Primary

Addresses

Primary practice location

630 W Fayette St
Baltimore, MD 21201

Mailing address

630 W Fayette St
Baltimore, MD 21201
Phone (410) 209-6204

Other names 1

  • Walter P. Carter Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000210 MD Part B Supplier - Clinic/Group Practice 7416859327 Receives reassigned benefits from 96 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cumberland, MD; Sykesville, MD; Salisbury, MD; Hagerstown, MD; Catonsville, MD; Cambridge, MD

Hospital certification: CCN 214011

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WALTER P CARTER CENTER
Certification status
Terminated Voluntary: merger or closure, Oct 30, 2009
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 16, 1978
Last certification
May 15, 2007
Beds
108 (51 certified)
Ownership / control type
Local
Facility address
630 W Fayette Street
Baltimore, MD 21201

Hospital certification: CCN 214014

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HIGHLAND HEALTH FACILITY AT CARTER CTR
Certification status
Terminated Voluntary: merger or closure, Jul 1, 1998
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 8, 1981
Last certification
Feb 28, 1997
Beds
24
Ownership / control type
State
Facility address
630 West Fayette Street, 6TH Floor
Baltimore, MD 21201

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1760468623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W FAYETTE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-209-6204",
            "fax_number": "410-209-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W FAYETTE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-209-6204",
            "fax_number": "410-209-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ARCHIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "410-209-6201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MD",
            "license": "30072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walter P. Carter Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.