Organization Active NPI

Action Mobile Therapy

  • Community/Behavioral Health Agency
  • Hunt Valley, MD
National Provider Identifier
1790208387
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ACTION MOBILE THERAPY
Practice address
33A Brett Manor CT
Hunt Valley, MD 21030-1228
Phone
(410) 375-2308
NPI assigned
Jul 25, 2017
Last updated
Jan 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Jennifer HorneNPI 1124412549
Title
Owner
Phone
(410) 375-2308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

33A Brett Manor CT
Hunt Valley, MD 21030-1228

Mailing address

PO Box 52
Hunt Valley, MD 21030-0052
Phone (410) 375-2308

Other identifiers 1

IdentifierTypeStateIssuer
118149100MedicaidMD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1790208387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210300052",
            "telephone_number": "410-375-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33A BRETT MANOR CT",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301228",
            "telephone_number": "410-375-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION MOBILE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-375-2308"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118149100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.