Organization Active NPI

Luminis Health J. Kent McNew Family Medical Center, Inc.

  • Psychiatric Hospital
  • Annapolis, MD
National Provider Identifier
1780236992
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
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

Updated by the provider on May 14, 2021

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)CodeLicenseStatePrimary
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. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
Enrollment address
175 Harry S Truman Pkwy
Annapolis, MD 21401-7573
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Luminis Health J Kent McNew Family Medical CenterCCN 214020
Type
Psychiatric
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2180758Luminis Health J Kent Family Medical Center175 Harry Truman Parkway, Annapolis, MD 21401Certificate of waiverMar 18, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Jennifer Harrington Individual Corporate OfficerBoard Member Jul 1, 2025
Timothy Adelman Individual Corporate OfficerBoard Member Jul 1, 2025
Soo Kyung Lee Individual Corporate DirectorExecutive Vice President Jan 31, 2026
W-2 Managing Employee Jan 31, 2026
Victoria Bayless Individual Corporate OfficerChief Executive Officer Jul 1, 2019
Catherine Maloney Individual Corporate OfficerBoard Member 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.

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"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.