Maryland Children'S Institute, Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MARYLAND CHILDREN'S INSTITUTE, INC.

Practice address

859 1/2 N Howard St FL 1
Baltimore, MD 21201-4696

Phone

(410) 622-2908

NPI assigned

Oct 24, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Imamu A Baraka, MHS, LCPC, NCC, DCC

Title

President/Chief, Clinical Officer

Phone

(410) 622-2908

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1841702321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 1/2 N HOWARD ST FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014696",
            "telephone_number": "410-622-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 1/2 N HOWARD ST FL 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014696",
            "telephone_number": "410-622-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND CHILDREN'S INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "BARAKA",
        "authorized_official_first_name": "IMAMU",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF, CLINICAL OFFICER",
        "authorized_official_telephone_number": "410-622-2908",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHS, LCPC, NCC, DCC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryland Behavioral Health Care LLC
• Maryland Behavioral Health Care LLC
• Maryland Care Center
• Maryland Care Experts, LLC
• Maryland Center for Integrative Medicine
• Maryland Community Health Initiatives, Inc.
• Maryland Community Health Initiatives, Inc.
• Maryland Community Health Initiatives, Inc.
• Maryland Community Health Initiatives, Inc.
• Maryland Community Health Initiatives, Inc.

• Adolescent and Children Mental Health Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Adolescent and Children Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.