Organization Active NPI

Ama Transitional Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1811412604
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LC4829 Issued in MD
Legal business name
AMA TRANSITIONAL SERVICES, LLC
Doing business as
AMA Transitional Services, LLC
Practice address
1407 Lochner Rd Ste 0
Baltimore, MD 21239-2932
Phone
(443) 475-0338
Fax
(410) 561-1751
NPI assigned
Aug 14, 2017
Last updated
Sep 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Mr. Aldin L Gordon, LCPCNPI 1215103544
Title
Owner/Therapist
Phone
(716) 465-6832

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 LC4829 MD Primary

Addresses

Primary practice location

1407 Lochner Rd Ste 0
Baltimore, MD 21239-2932

Mailing address

1407 Lochner Rd Ste 0
Baltimore, MD 21239-2932
Phone (443) 475-0338

Other identifiers 1

IdentifierTypeStateIssuer
1215103544MedicaidMD

Other names 1

  • AMA Transitional Services, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ama Transitional Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

22 W Padonia Rd
Ste A203
Lutherville Timonium, MD 21093
Phone (410) 245-9722

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1811412604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 LOCHNER RD STE 0",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392932",
            "telephone_number": "443-475-0338",
            "fax_number": "410-561-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 LOCHNER RD STE 0",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392932",
            "telephone_number": "443-475-0338",
            "fax_number": "410-561-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMA TRANSITIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ALDIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "716-465-6832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "LC4829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215103544",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMA Transitional Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 15, 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.