Active NPI
Building Bridges of Baltimore, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Reisterstown, MD
National Provider Identifier
1861272130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- BUILDING BRIDGES OF BALTIMORE, LLC
- Practice address
- 500 Main St Ste B
Reisterstown, MD 21136-1997 - Phone
- (410) 978-2317
- NPI assigned
- Oct 3, 2023
- Last updated
- Oct 17, 2023
- 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
- Kate Shamis
- Title
- Owner
- Phone
- (443) 774-8994
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
500 Main St Ste B
Reisterstown, MD 21136-1997
Mailing address
500 Main St Ste B
Reisterstown, MD 21136-1997
Other practice location 1
1314 Bedford Ave
Pikesville, MD 21208-6604
Phone (443) 744-8994
National Provider Directory
National Provider Directory- Tax ID family
- Building Bridges of Baltimore LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Baltimore, MD
- NPI 1295519452
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1992325302
Locations
1314 Bedford Ave
Pikesville, MD 21208
Phone (410) 484-1344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697500800000",
"number": "1861272130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MAIN ST STE B",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211361997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MAIN ST STE B",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211361997",
"telephone_number": "410-978-2317"
}
],
"practiceLocations": [
{
"address_1": "1314 Bedford Ave",
"address_purpose": "LOCATION",
"city": "Pikesville",
"state": "MD",
"postal_code": "212086604",
"country_code": "US",
"telephone_number": "443-744-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BUILDING BRIDGES OF BALTIMORE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A",
"authorized_official_last_name": "SHAMIS",
"authorized_official_first_name": "KATE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-774-8994"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reisterstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.