NPIMap

Organization Active NPI

Elysian Fields Optimum Wellness

  • Adult Mental Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1902303415
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
BH000553 Issued in MD
Legal business name
ELYSIAN FIELDS OPTIMUM WELLNESS
Doing business as
Elysian Fields Optimum Wellness
The Seventy Times Seven Wellness Mission
Practice address
2222 N Howard St
Baltimore, MD 21218
Phone
(410) 624-5037
NPI assigned
Apr 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Arthur Griffin
Title
Owner
Phone
(410) 624-5037

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X BH000553 MD Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

2222 N Howard St
Baltimore, MD 21218

Mailing address

2222 N Howard St
Baltimore, MD 21218-5609
Phone (410) 624-5037

Other practice location 1

2222 N Howard St
Baltimore, MD 21218-5609
Phone (410) 624-5037

Other names 2

  • Elysian Fields Optimum Wellness Doing business as
  • The Seventy Times Seven Wellness Mission Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Elysian Fields Optimum12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1902303415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N HOWARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185609",
            "telephone_number": "410-624-5037",
            "fax_number": "800-405-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N HOWARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21218",
            "telephone_number": "410-624-5037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 N Howard St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212185609",
            "country_code": "US",
            "telephone_number": "410-624-5037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELYSIAN FIELDS OPTIMUM WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-624-5037"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "BH000553",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elysian Fields Optimum Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Seventy Times Seven Wellness Mission",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Seventy Times Seven Wellness Mission",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2023; 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.