Organization Active NPI

Time Organization, Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1801056098
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH-1146. Issued in MD
Legal business name
TIME ORGANIZATION, INC
Practice address
4538 Edmondson Ave
Baltimore, MD 21229-1506
Phone
(443) 872-2230
Fax
(443) 872-2227
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Mr. Lauren Herron, LCSW-C
Title
Executive Director
Phone
(410) 227-9426

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH-1146. MD Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

4538 Edmondson Ave
Baltimore, MD 21229-1506

Mailing address

300 E Lombard St Ste 1700
Baltimore, MD 21202-3243
Phone (443) 872-2230

Other identifiers 2

IdentifierTypeStateIssuer
408791700MedicaidMD
406192600MedicaidMD

National Provider Directory

National Provider Directory

Locations

2901 Druid Park Dr
Ste A202
Baltimore, MD 21215
Phone (410) 225-0062

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1801056098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E LOMBARD ST STE 1700",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023243",
            "telephone_number": "443-872-2230",
            "fax_number": "443-872-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4538 EDMONDSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291506",
            "telephone_number": "443-872-2230",
            "fax_number": "443-872-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME ORGANIZATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-227-9426",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "MH-1146.",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408791700",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406192600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 27, 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.