NPIMap

Organization Active NPI

Parker Psychiatric Services, Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1912478900
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PARKER PSYCHIATRIC SERVICES, INCORPORATED
Practice address
940 Madison Ave Ste 202
Baltimore, MD 21201-2113
Phone
(410) 440-0317
Fax
(443) 434-0110
NPI assigned
Dec 17, 2018
Last updated
Dec 17, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKER PSYCHIATRIC SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Mr. Gary Parker
Title
Ceo
Phone
(410) 440-0317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

940 Madison Ave Ste 202
Baltimore, MD 21201-2113

Mailing address

940 Madison Ave Ste 202
Baltimore, MD 21201-2113
Phone (410) 440-0317

Other identifiers 1

IdentifierTypeStateIssuer
422901100MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210818002998 MD Part B Supplier - Clinic/Group Practice 7113322835 Receives reassigned benefits from 5 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
Parker Psychiatric Services3 organizations share this tax ID, including this one
Part of
Parker Psychiatric Services

Other organizations with this tax ID 2

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

Locations

940 Madison Ave
#202
Baltimore, MD 21201
Phone (410) 777-8710

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.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1912478900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 MADISON AVE STE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012113",
            "telephone_number": "410-440-0317",
            "fax_number": "443-434-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 MADISON AVE STE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012113",
            "telephone_number": "410-440-0317",
            "fax_number": "443-434-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER PSYCHIATRIC SERVICES, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKER PSYCHIATRIC SERVICES, INC.",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-440-0317",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422901100",
            "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 Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.