Active NPI
Luminis Health J. Kent McNew Family Medical Center, Inc.
- Psychiatric Hospital
- Annapolis, MD
National Provider Identifier
1780236992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- LUMINIS HEALTH J. KENT MCNEW FAMILY MEDICAL CENTER, INC.
- Practice address
- 175 Harry S. Truman Pkwy
Annapolis, MD 21401-7305 - Phone
- (443) 481-6695
- Fax
- (443) 481-4574
- NPI assigned
- Jul 9, 2019
- 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
- Robert Reilly
- Title
- Chief Financial Officer
- Phone
- (443) 481-1308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Primary |
Addresses
Primary practice location
175 Harry S. Truman Pkwy
Annapolis, MD 21401-7305
Mailing address
2000 Medical Pkwy Ste 606
Annapolis, MD 21401-3748
Phone (443) 481-1308
Other names 1
- Anne Arundel Mental Health Hospital, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200413002060 | MD | Part A Provider - Hospital | 4183054281 | Practice locations: Annapolis, MD |
Hospital certification: CCN 214020
- Legal name
- LUMINIS HEALTH J. KENT MCNEW FAMILY MEDICAL CENTER, INC.
- Doing business as
- ANNE ARUNDEL MENTAL HEALTH HOSPITAL INC
- Certification status
- Active
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Dec 4, 2020
- Last certification
- Dec 4, 2020
- Beds
- 16
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Enrollment address
- 175 Harry S Truman Pkwy
Annapolis, MD 21401-7573 - Hospital subgroups
- Psychiatric
Care Compare: Hospital
Medicare Care Compare- Listed as
- Luminis Health J Kent McNew Family Medical Center
- Type
- Psychiatric
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2180758 | Luminis Health J Kent Family Medical Center | Certificate of waiver | Mar 18, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Harrington | Corporate Officer | Jul 1, 2025 | |
| Timothy Adelman | Corporate Officer | Jul 1, 2025 | |
| Soo Kyung Lee | Corporate Director | Jan 31, 2026 | |
| W-2 Managing Employee | Jan 31, 2026 | ||
| Victoria Bayless | Corporate Officer | Jul 1, 2019 | |
| Catherine Maloney | Corporate Officer | Jul 1, 2025 |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Cambridge, MD
- NPI 1588642599
-
- Psychiatry Physician
- Annapolis, MD
- NPI 1457667404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620950400000",
"number": "1780236992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MEDICAL PKWY STE 606",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013748",
"telephone_number": "443-481-1308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 HARRY S. TRUMAN PKWY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017305",
"telephone_number": "443-481-6695",
"fax_number": "443-481-4574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMINIS HEALTH J. KENT MCNEW FAMILY MEDICAL CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-09",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A",
"authorized_official_last_name": "REILLY",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "443-481-1308"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Anne Arundel Mental Health Hospital, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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- Luminis Health Imaging, Inc.
- Luminis Health Imaging, Inc.
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.