NPIMap

Organization Active NPI

Active Responders Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Essex, MD
National Provider Identifier
1881384170
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ACTIVE RESPONDERS INC
Practice address
404B Eastern Blvd
Essex, MD 21221
Phone
(443) 488-0045
NPI assigned
May 10, 2023
Last updated
May 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Mary Alabi, NPNPI 1497347660
Title
Owner
Phone
(443) 488-0045

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

404B Eastern Blvd
Essex, MD 21221

Mailing address

7605 Clint St
Glen Burnie, MD 21060-8333
Phone (443) 488-0045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230602000371 MD Part B Supplier - Clinic/Group Practice 8426415605 Receives reassigned benefits from 3 practitioners
Practice locations: Essex, MD

National Provider Directory

National Provider Directory

Locations

404 Eastern Blvd
#B
Essex, MD 21221
Phone (443) 488-0045

Practitioners & affiliated clinicians

Practitioners 3

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": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1881384170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 CLINT ST",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608333",
            "telephone_number": "443-488-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404B EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "21221",
            "telephone_number": "443-488-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE RESPONDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "ALABI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-488-0045",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.