NPIMap

Organization Active NPI

Associated Catholic Charities

Doing business as Villa Maria Behavioral Health at Miller's Court PRP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1790044675
Registry record updated Jan 3, 2020
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
ASSOCIATED CATHOLIC CHARITIES
Doing business as
Villa Maria Behavioral Health at Miller's Court PRP
Practice address
6999 Reisterstown Rd
Baltimore, MD 21215-1430
Phone
(667) 600-3201
NPI assigned
May 11, 2012
Last updated
Jan 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Gloria Reeves
Title
A/R and Billing Manager
Phone
(667) 600-2249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

6999 Reisterstown Rd
Baltimore, MD 21215-1430

Mailing address

2300 Dulaney Valley Rd
Timonium, MD 21093-2739
Phone (667) 600-2249

Other practice location 1

2601 N Howard St
Suite 200
Baltimore, MD 21218-4666
Phone (410) 727-4800

Other identifiers 1

IdentifierTypeStateIssuer
421156100MedicaidMD

Other names 1

  • Villa Maria Behavioral Health at Miller's Court PRP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Francis X Gallagher Services62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1790044675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 DULANEY VALLEY RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932739",
            "telephone_number": "667-600-2249",
            "fax_number": "667-600-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6999 REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151430",
            "telephone_number": "667-600-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 N Howard St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212184666",
            "country_code": "US",
            "telephone_number": "410-727-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSOCIATED CATHOLIC CHARITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "A/R AND BILLING MANAGER",
        "authorized_official_telephone_number": "667-600-2249"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421156100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Maria Behavioral Health at Miller's Court PRP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Villa Maria Behavioral Health at Miller's Court PRP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 3, 2020; 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.