NPIMap

Organization Active NPI

Calvert County Health Department

Doing business as Calvert County Mental Health Clinic

  • Adolescent and Children Mental Health Clinic/Center
  • Lusby, MD
National Provider Identifier
1831546845
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CALVERT COUNTY HEALTH DEPARTMENT
Doing business as
Calvert County Mental Health Clinic
Practice address
11845 HG Trueman Rd
Lusby, MD 20657-2855
Phone
(410) 394-0681
NPI assigned
May 19, 2016
Last updated
Nov 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Doris J McDonaldNPI 1245421601
Title
Director of Behavioral Health
Phone
(410) 535-3079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MD
Adolescent and Children Mental Health Clinic/Center 261QM0855X MD Primary

Addresses

Primary practice location

11845 HG Trueman Rd
Lusby, MD 20657-2855

Mailing address

PO Box 980
Prince Frederick, MD 20678-0980

Other names 1

  • Calvert County Mental Health Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121119000361 MD Part B Supplier - Clinic/Group Practice 7214188366 Receives reassigned benefits from 23 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lusby, MD; Prince Frederick, MD; North Beach, MD; Chesapeake Beach, MD

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

11845 Hg Trueman Rd
Lusby, MD 20657
Phone (410) 326-6344

280 Stafford Rd
Prince Frederick, MD 20678
Phone (410) 535-3079

Practitioners & affiliated clinicians

Practitioners 4

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": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1831546845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206780980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11845 HG TRUEMAN RD",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206572855",
            "telephone_number": "410-394-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERT COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "410-535-3079"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvert County Mental Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Calvert County Mental Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lusby, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.