Active NPI
Faith Health Care Center
- Behavioral Neurology & Neuropsychiatry Physician
- Baltimore, MD
National Provider Identifier
1972124816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- Legal business name
- FAITH HEALTH CARE CENTER
- Practice address
- 413 Commonwealth Ave Ste 7
Baltimore, MD 21228-3044 - Phone
- (410) 869-4602
- NPI assigned
- May 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mercy O Fadoju
- Title
- Provider
- Phone
- (410) 869-4602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | Primary |
Addresses
Primary practice location
413 Commonwealth Ave Ste 7
Baltimore, MD 21228-3044
Mailing address
413 Commonwealth Ave Ste 7
Baltimore, MD 21228-3044
Phone (410) 869-4602
National Provider Directory
National Provider Directory- Tax ID family
- Faith Health Care Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric/Mental Health Nurse Practitioner
- Catonsville, MD
- NPI 1073051918
-
- Health Service Clinic/Center
- Catonsville, MD
- NPI 1487935417
Locations
413 Commonwealth Ave
Ste 7
Catonsville, MD 21228
Phone (410) 514-6718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588291200000",
"number": "1972124816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 COMMONWEALTH AVE STE 7",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212283044",
"telephone_number": "410-869-4602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 COMMONWEALTH AVE STE 7",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212283044",
"telephone_number": "410-869-4602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITH HEALTH CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-01",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A",
"authorized_official_last_name": "FADOJU",
"authorized_official_first_name": "MERCY",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "410-869-4602"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.