Organization Active NPI

Behavioral Healthcare of Maryland

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Burnie, MD
National Provider Identifier
1902142839
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MH-531 Issued in MD
Legal business name
BEHAVIORAL HEALTHCARE OF MARYLAND
Practice address
1405 Madison Park Drive Suite 1B
Glen Burnie, MD 21061
Phone
(410) 487-6302
Fax
(443) 517-6072
NPI assigned
Dec 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Mr. Wilbur Ian Cort
Title
Program Director
Phone
(301) 891-2077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MH-531 MD Primary

Addresses

Primary practice location

1405 Madison Park Drive Suite 1B
Glen Burnie, MD 21061

Mailing address

1405 Madison Park Drive Suite 1B
Glen Burnie, MD 21061
Phone (410) 487-6302

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Healthcare of Maryland2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1902142839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 MADISON PARK DRIVE SUITE 1B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-487-6302",
            "fax_number": "443-517-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MADISON PARK DRIVE SUITE 1B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-487-6302",
            "fax_number": "443-517-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTHCARE OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "CORT",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "301-891-2077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "MH-531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.