Organization Active NPI

Supportive Team of Restorative Management Behavioral Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
National Provider Identifier
1851028104
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SUPPORTIVE TEAM OF RESTORATIVE MANAGEMENT BEHAVIORAL SERVICES
Practice address
5900 York Rd Ste 108
Baltimore, MD 21212-3023
Phone
(410) 982-5156
NPI assigned
Aug 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Tyra Alston
Title
Owner
Phone
(410) 982-5156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

5900 York Rd Ste 108
Baltimore, MD 21212-3023

Mailing address

5900 York Rd Ste 108
Baltimore, MD 21212-3023

Other names 1

  • Storm Behavioral Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.stormllc1com. Direct

National Provider Directory

National Provider Directory

Locations

5900 York Rd
Ste 108
Baltimore, MD 21212
Phone (240) 316-1461

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1851028104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 YORK RD STE 108",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 YORK RD STE 108",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123023",
            "telephone_number": "410-982-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE TEAM OF RESTORATIVE MANAGEMENT BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "TYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-982-5156"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.stormllc1com.",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5900 York Rd Ste 108",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212123023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Storm Behavioral Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.