Organization Active NPI

Micasa Sucasa

  • Community/Behavioral Health Agency
  • Linthicum Heights, MD
National Provider Identifier
1942922166
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MICASA SUCASA
Practice address
780 Elkridge Landing Rd Ste 103
Linthicum Heights, MD 21090-2911
Phone
(410) 227-8002
NPI assigned
Sep 14, 2022
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Ms. Marcia Bailey
Title
Ceo/Owner
Phone
(410) 227-8002

Specialties & licenses 1

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

Addresses

Primary practice location

780 Elkridge Landing Rd Ste 103
Linthicum Heights, MD 21090-2911

Mailing address

780 Elkridge Landing Rd Ste 103
Linthicum Heights, MD 21090-2911
Phone (410) 227-8002

National Provider Directory

National Provider Directory

Locations

780 Elkridge Landing Rd
Ste 103
Linthicum Heights, MD 21090
Phone (410) 227-8002

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1942922166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 ELKRIDGE LANDING RD STE 103",
            "city": "LINTHICUM HEIGHTS",
            "state": "MD",
            "postal_code": "210902911",
            "telephone_number": "410-227-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ELKRIDGE LANDING RD STE 103",
            "city": "LINTHICUM HEIGHTS",
            "state": "MD",
            "postal_code": "210902911",
            "telephone_number": "410-227-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICASA SUCASA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "410-227-8002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linthicum Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.