Organization Active NPI

The Martin Pollak Project Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1922545649
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MH-2180 Issued in MD
Legal business name
THE MARTIN POLLAK PROJECT INC.
Practice address
3701 Eastern Ave
Baltimore, MD 21224-4208
Phone
(410) 685-2525
Fax
(410) 617-8243
NPI assigned
Jan 20, 2017
Organization subpart
Yes
Parent organization
MARTIN POLLAK PROJECT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Mr. Richard Norman, LCSW-C
Title
Ceo
Phone
(410) 685-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MH-2180 MD Primary

Addresses

Primary practice location

3701 Eastern Ave
Baltimore, MD 21224-4208

Mailing address

3701 Eastern Ave
Baltimore, MD 21224-4208
Phone (410) 685-2525

Other identifiers 1

IdentifierTypeStateIssuer
BH002229MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
The Martin Pollak Project Inc2 organizations share this tax ID, including this one
Part of
The Martin Pollak Project Inc

Other organizations with this tax ID 1

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

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1922545649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244208",
            "telephone_number": "410-685-2525",
            "fax_number": "410-617-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244208",
            "telephone_number": "410-685-2525",
            "fax_number": "410-617-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARTIN POLLAK PROJECT INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTIN POLLAK PROJECT INC",
        "enumeration_date": "2017-01-20",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-685-2525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "MH-2180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH002229",
            "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 Aug 16, 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.