NPIMap

Organization Active NPI

House of Change Behavioral Health Center

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1891268652
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOUSE OF CHANGE BEHAVIORAL HEALTH CENTER
Practice address
1533 Edmondson Ave
Baltimore, MD 21223-1206
Phone
(410) 323-3500
Fax
(410) 323-3544
NPI assigned
Jan 4, 2019
Organization subpart
Yes
Parent organization
HOUSE OF CHANGE BEHAVIORAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Vanessa Lyle
Title
Billing Specialist
Phone
(410) 500-0712

Specialties & licenses 1

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

Addresses

Primary practice location

1533 Edmondson Ave
Baltimore, MD 21223-1206

Mailing address

5209 York Rd Ste B6
Baltimore, MD 21212-4247
Phone (410) 323-3500

Other identifiers 1

IdentifierTypeStateIssuer
BH001446OtherMDBEHAV HEALTH LICENSE

National Provider Directory

National Provider Directory
Tax ID family
House of Change Behavioral Health Center4 organizations share this tax ID, including this one
Part of
House of Change Behavioral Health Center

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1891268652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 YORK RD STE B6",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124247",
            "telephone_number": "410-323-3500",
            "fax_number": "410-323-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 EDMONDSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231206",
            "telephone_number": "410-323-3500",
            "fax_number": "410-323-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF CHANGE BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSE OF CHANGE BEHAVIORAL HEALTH CENTER",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "LYLE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "410-500-0712"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAV HEALTH LICENSE",
            "identifier": "BH001446",
            "state": "MD"
        }
    ],
    "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 Jan 4, 2019; 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.