Michael Allen
Individual provider Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Ellicott City, MD
NPI 1821638271 · NPPES record last updated Jan 14, 2020
Key facts
- NPI
- 1821638271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Practice address
- 2850 N Ridge Rd Ste 210
Ellicott City, MD 21043-3463 - Phone
- (410) 961-8423
- NPI assigned
- Jan 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH001887 | MD | MD | Mental Health Clinic/Center (Including Community Mental Health Center) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | BH001887 | MD | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
2850 N Ridge Rd Ste 210
Ellicott City, MD 21043-3463
Mailing address
2850 N Ridge Rd Ste 210
Ellicott City, MD 21043-3463
Other providers in Ellicott City, MD
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- Jaime Allen
- Sharon N Allen
- Alex Jacob Allender
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- Carmencita Alo
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All providers in Ellicott City, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.