NPIMap

Organization Active NPI

Mind Matters Resource Group

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1881148559
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIND MATTERS RESOURCE GROUP
Practice address
204 W Saratoga St
Baltimore, MD 21201-3511
Phone
(443) 208-6156
NPI assigned
Aug 10, 2016
Last updated
Aug 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Ms. Latasha Genell RolesNPI 1417692872
Title
Director
Phone
(443) 208-6156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

204 W Saratoga St
Baltimore, MD 21201-3511

Mailing address

4022 Dudley Ave
Baltimore, MD 21213-2139
Phone (443) 208-6156

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1881148559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 DUDLEY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132139",
            "telephone_number": "443-208-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W SARATOGA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013511",
            "telephone_number": "443-208-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MATTERS RESOURCE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "ROLES",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "GENELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-208-6156",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 10, 2016; 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.