Active NPI
Behavioral Healthcare of Maryland
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glen Burnie, MD
National Provider Identifier
1902142839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- MH-531
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Maryland
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prescribing (Medical) Psychologist
- Takoma Park, MD
- NPI 1821247081
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.