Davids Loft Center for Somatic and Behavioral Healthcare

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DAVIDS LOFT CENTER FOR SOMATIC AND BEHAVIORAL HEALTHCARE

Practice address

2641 Maryland Ave
Baltimore, MD 21218-4518

Phone

(410) 800-4226

NPI assigned

Aug 7, 2020

Last updated

Aug 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David H Thompson Jr., LCPCNPI 1083898092

Title

Ceo

Phone

(410) 800-4226

Specialties & licenses 2

Addresses

Electronic endpoints 1

Tax ID family

Davids Loft Center for Somatic and Behavioral Healthcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Davids Loft Center for Somatic and Behavioral Healthcare

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1992372312
  NPD tax ID
• Vincent G. Banks Center for Residential Substance Use Treatment

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1598332199
  NPD tax ID

Practitioners 1

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.

• David Henry Thompson Jr., LCPC

  • Professional Counselor
  • Baltimore, MD
  • NPI 1083898092
  NPD Authorized official

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1871103481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184518",
            "telephone_number": "410-800-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184518",
            "telephone_number": "410-800-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDS LOFT CENTER FOR SOMATIC AND BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-800-4226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "davidhthompsonjr@davidsloft.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2641 Maryland Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212184518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David's Loft Clinical Programs
• Mary Monisa Davidge, COTA
• Trenton Davidheiser, DDS
• Caroline Davidoff
• Howard Allen Davidov, M.D.
• Davids Loft Center for Somatic and Behavioral Healthcare
• Ariella Davids
• Anthony Jeffrey Davidson
• Emily Nicole Davidson
• Hannah Rochelle Davidson, CGC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.