NPIMap

Organization Active NPI

Upper Chesapeake Medical Center, Inc.

  • Psychiatric Hospital
  • Aberdeen, MD
National Provider Identifier
1891486908
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
UPPER CHESAPEAKE MEDICAL CENTER, INC.
Practice address
660 McHenry Rd
Aberdeen, MD 21001
Phone
(443) 843-5000
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Marcus Thomas Augustus Priolo
Title
Cfo
Phone
(443) 643-3344

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

660 McHenry Rd
Aberdeen, MD 21001

Mailing address

660 McHenry Rd
Aberdeen, MD 21001

Other names 1

  • UM Chesapeake Behavioral Health Pavilion at Aberdeen Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250815001069 MD Part A Provider - Hospital 5799708434 Practice locations: Aberdeen, MD

Hospital certification: CCN 214022

Legal name
UPPER CHESAPEAKE MEDICAL CENTER INC
Doing business as
UM UPPER CHESAPEAKE BEHAVIORAL HEALTH PAVILION AT ABERDEEN
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Mar 21, 2024
Last certification
Mar 21, 2024
Beds
33
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
660 McHenry Rd
Aberdeen, MD 21001
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Um Upper Chesapeake Behavioral Health Pavilion atCCN 214022
Type
Psychiatric
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Ambulatory Care Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph E Hoffman Individual Corporate Officer Jul 1, 2025
Corporate Director Jul 1, 2025
Alicia Cunningham Individual Corporate Director Feb 6, 2024
Richard Streett Individual Corporate Director Feb 6, 2024
Michael Allen Individual Corporate Director Feb 6, 2024
Theresa Felder Individual Corporate Director Feb 6, 2024
Bryan R Kilby Individual Corporate Director Feb 6, 2024
Sharon M Lipford Individual Corporate Director Feb 6, 2024
Ryan John Individual Corporate Director Feb 6, 2024
Adele Wilzack Individual Corporate Director Feb 6, 2024
Tobias Musser Individual Corporate Director Feb 6, 2024
James Richardson Individual Corporate Director Feb 6, 2024
Vernon D King Individual Corporate Director Feb 6, 2024
Upper Chesapeake Medical Center Inc Organization, Bel Air, MD Corporation 5% Or Greater Direct Ownership Interest Nov 16, 2023
James Harkins Individual Corporate Director Feb 6, 2024
Charles Alexander Individual Corporate Director Feb 6, 2024
Mohan Suntha Individual Corporate Director Feb 6, 2024
Lisa Elizabeth Thomas Individual Corporate Director Feb 6, 2024
Dennis Kurgansky Individual Corporate Director Feb 6, 2024
Marcus Priolo Individual Corporate Director Feb 6, 2024
W-2 Managing Employee Feb 6, 2024
Bryan Kelly Individual Corporate Director Feb 6, 2024
Sanjeev Kumar Individual Corporate Director Feb 6, 2024
Aaron Joseph Rabinowitz Individual Corporate OfficerPresident Jul 18, 2025
Corporate Director Jul 18, 2025
Albert Young Individual Corporate Director Feb 6, 2024

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1891486908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 MCHENRY RD",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "21001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MCHENRY RD",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "21001",
            "telephone_number": "443-843-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CHESAPEAKE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "PRIOLO",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "THOMAS AUGUSTUS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "443-643-3344"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "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": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UM Chesapeake Behavioral Health Pavilion at Aberdeen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UM Chesapeake Behavioral Health Pavilion at Aberdeen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, MD

Sources for this page

Verify at the official NPI Registry.