Up Start, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

UP START, LLC

Practice address

4723 Shamrock Ave
Baltimore, MD 21206-6864

Phone

(443) 621-1580

NPI assigned

Dec 22, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Tammy E Coley, LCSW-CNPI 1871001834

Title

Owner

Phone

(443) 621-1580

Specialties & licenses 1

Addresses

Tax ID family

Up Start LLC2 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.

• Up Start, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1245956994
  NPD tax ID

Practitioners 1

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.

• Tammy Coley, LCSW-C

  • Social Worker
  • Baltimore, MD
  • NPI 1871001834
  NPD Authorized official

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1912619750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SCHOONER BAY CT",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212207504",
            "telephone_number": "443-621-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 SHAMROCK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212066864",
            "telephone_number": "443-621-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP START, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "COLEY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-621-1580",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unlimited Bounds Human Services LLC
• Unlimited Bounds Human Services LLC
• Unlimited Bounds Human Services LLC
• Michael Yonekuni Uohara, MD
• Up Start, LLC
• Sireesha Upadhrasta, MD
• Kiran Upadhyay, MD
• Upcoming Enterprize Corporation
• Linda Diane Updegraff, C.R.N.P.
• Marcia Updike, P.A.

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.