Active NPI
Protocol, LLC
- Community/Behavioral Health Agency
- Baltimore, MD
National Provider Identifier
1841015021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PROTOCOL, LLC
- Practice address
- 2000 N Monroe St
Baltimore, MD 21217-1316 - Phone
- (443) 760-2264
- NPI assigned
- Nov 21, 2024
- Last updated
- Jan 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devante M Teel
- Title
- Owner/Founder
- Phone
- (443) 515-9157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2000 N Monroe St
Baltimore, MD 21217-1316
Mailing address
1301 York Rd
Lutherville, MD 21093-6035
National Provider Directory
National Provider Directory- Tax ID family
- Protocol LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Baltimore, MD
- NPI 1346164316
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Baltimore, MD
- NPI 1346164316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736899200000",
"number": "1841015021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 YORK RD",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210936035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N MONROE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212171316",
"telephone_number": "443-760-2264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROTOCOL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-21",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A",
"authorized_official_last_name": "TEEL",
"authorized_official_first_name": "DEVANTE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/FOUNDER",
"authorized_official_telephone_number": "443-515-9157"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Protocol, LLC
- Natasha J Provancher, LMFT
- Juliana Elizabeth Provenzale
- Providence Adult Day Care Center, Inc.
- Providence Community PRP Inc
- Providing Empowerment Advocacy & Social Skills
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.