NPIMap

Organization Active NPI

Empowerment Therapy Services of Maryland, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1942884671
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMPOWERMENT THERAPY SERVICES OF MARYLAND, LLC
Practice address
3655A Old Court Rd
Baltimore, MD 21208-3959
Phone
(410) 404-0786
NPI assigned
May 9, 2021
Last updated
May 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Atara ZifferNPI 1598935074
Title
Owner
Phone
(410) 404-0786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3655A Old Court Rd
Baltimore, MD 21208-3959

Mailing address

6610 Clarington Rd
Baltimore, MD 21209-3837
Phone (410) 404-0786

Other names 1

  • OMHC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Insynch

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210803002831 MD Part B Supplier - Clinic/Group Practice 0345644092 Receives reassigned benefits from 24 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
Empowerment Therapy Services of Maryland LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3655A Old Court Rd
Ste 123
Pikesville, MD 21208
Phone (410) 630-9064

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1942884671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 CLARINGTON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093837",
            "telephone_number": "410-404-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655A OLD COURT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083959",
            "telephone_number": "410-404-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERMENT THERAPY SERVICES OF MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-09",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "ZIFFER",
        "authorized_official_first_name": "ATARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-404-0786"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Insynch",
            "affiliation": "N",
            "address_1": "3655A Old Court Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212083959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "OMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 10, 2021; 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.