NPIMap

Organization Active NPI

Productive Lives Mental Health

  • Adolescent and Children Mental Health Clinic/Center
  • Owings Mills, MD
National Provider Identifier
1790208718
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
PRODUCTIVE LIVES MENTAL HEALTH
Practice address
110 Painters Mill Rd Ste 310
Owings Mills, MD 21117-5248
Phone
(443) 657-7952
NPI assigned
Jul 21, 2017
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Mrs. Towanna Monique Miller-JohnsonNPI 1669256855
Title
Chief Executive Officer
Phone
(443) 415-1937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

110 Painters Mill Rd Ste 310
Owings Mills, MD 21117-5248

Mailing address

110 Painters Mill Rd Ste 310
Owings Mills, MD 21117-5248
Phone (443) 657-7952

National Provider Directory

National Provider Directory
Tax ID family
Productive Lives Mental Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5310 Old Court Rd
Ste 308
Randallstown, MD 21133
Phone (410) 521-4798

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": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1790208718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 310",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175248",
            "telephone_number": "443-657-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 310",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175248",
            "telephone_number": "443-657-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODUCTIVE LIVES MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "MILLER-JOHNSON",
        "authorized_official_first_name": "TOWANNA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "443-415-1937",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.