NPIMap

Organization Active NPI

Harwood Behavioral Health Partners, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1760873632
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
251B00000X Issued in MD
Legal business name
HARWOOD BEHAVIORAL HEALTH PARTNERS, LLC
Practice address
428 E 25TH St
Baltimore, MD 21218-5304
Phone
(410) 617-0142
Fax
(443) 873-6975
NPI assigned
Feb 12, 2015
Last updated
Sep 25, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CCG MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Ms. Barbara A Wahl, RN, MA
Title
Business Operations Director
Phone
(667) 239-3205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 251B00000X MD Primary

Addresses

Primary practice location

428 E 25TH St
Baltimore, MD 21218-5304

Mailing address

428 E 25TH St
Baltimore, MD 21218-5304
Phone (410) 617-0142

Other identifiers 1

IdentifierTypeStateIssuer
534204000MedicaidMD

Other names 1

  • CCG Baltimore Other name

National Provider Directory

National Provider Directory
Part of
Concerted Care Group Management LLC

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1760873632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185304",
            "telephone_number": "410-617-0142",
            "fax_number": "443-873-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185304",
            "telephone_number": "410-617-0142",
            "fax_number": "443-873-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARWOOD BEHAVIORAL HEALTH PARTNERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCG MANAGEMENT",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "667-239-3205",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "251B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "534204000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCG Baltimore",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 25, 2015; 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.