NPIMap

Organization Active NPI

State of Maryland Dep of Health Mental Hygiene

  • Community/Behavioral Health Agency
  • Bel Air, MD
National Provider Identifier
1821129461
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
AC0570 Issued in MD
Legal business name
STATE OF MARYLAND DEP OF HEALTH MENTAL HYGIENE
Practice address
604 Churchill Road
Suite#P
Bel Air, MD 21014
Phone
(410) 893-7743
NPI assigned
Mar 7, 2007
Last updated
Aug 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
June Eanes, CACAD,CFAENPI 1033243514
Title
Addiction Counselor
Phone
(410) 893-7743

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
Community/Behavioral Health Agency 251S00000X AC0570 MD Primary

Addresses

Primary practice location

604 Churchill Road
Suite#P
Bel Air, MD 21014

Mailing address

604 Churchill Rd
Bel Air, MD 21014-4227
Phone (410) 838-8533

National Provider Directory

National Provider Directory
Tax ID family
University of Maryland Athletics-College Park83 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

Subparts reporting this organization as parent 1

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

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1821129461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 CHURCHILL RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144227",
            "telephone_number": "410-838-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 CHURCHILL ROAD",
            "address_2": "SUITE#P",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-893-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MARYLAND DEP OF HEALTH MENTAL HYGIENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "EANES",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "ADDICTION COUNSELOR",
        "authorized_official_telephone_number": "410-893-7743",
        "authorized_official_credential": "CACAD,CFAE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "AC0570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.