NPIMap

Organization Active NPI

Groundwork Behavioral Health Services Corp

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1801462098
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GROUNDWORK BEHAVIORAL HEALTH SERVICES CORP
Practice address
1629 N Broadway
Baltimore, MD 21213-2314
Phone
(410) 831-1331
NPI assigned
May 28, 2021
Last updated
Dec 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Joy Edison
Title
Ceo
Phone
(410) 831-1331

Specialties & licenses 1

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

Addresses

Primary practice location

1629 N Broadway
Baltimore, MD 21213-2314

Mailing address

4713-4715 Leeds Ave.
Halethorpe, MD 21227

National Provider Directory

National Provider Directory
Tax ID family
Groundwork Behavioral Health Services Corp7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1801462098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713-4715 LEEDS AVE.",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "21227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 N BROADWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132314",
            "telephone_number": "410-831-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDWORK BEHAVIORAL HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "EDISON",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-831-1331"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 9, 2022; 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.