NPIMap

Organization Active NPI

Harford-Belair Community Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1801832852
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
8625 Issued in MD
Legal business name
HARFORD-BELAIR COMMUNITY MENTAL HEALTH CENTER, INC.
Practice address
4308 Harford Rd
Baltimore, MD 21214-3116
Phone
(410) 426-5650
Fax
(410) 426-5143
NPI assigned
Jun 20, 2006
Last updated
Jul 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Dr. Larry E. Alessi, M.D.NPI 1902860596
Title
Executive Director
Phone
(410) 426-5650

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 8625 MD Primary

Addresses

Primary practice location

4308 Harford Rd
Baltimore, MD 21214-3116

Mailing address

4308 Harford Rd
Baltimore, MD 21214-3116
Phone (410) 426-5650

Other identifiers 1

IdentifierTypeStateIssuer
266641300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090806000660 MD Part B Supplier - Clinic/Group Practice 5799838850 Receives reassigned benefits from 7 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
Harford Belair CMHC Inc Mt5 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.

Practitioners & affiliated clinicians

Practitioners 8

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1801832852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143116",
            "telephone_number": "410-426-5650",
            "fax_number": "410-426-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212143116",
            "telephone_number": "410-426-5650",
            "fax_number": "410-426-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARFORD-BELAIR COMMUNITY MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "ALESSI",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-426-5650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "8625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266641300",
            "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 Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.