NPIMap

Organization Active NPI

C&C Advocacy and Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pikesville, MD
National Provider Identifier
1972191518
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
C&C ADVOCACY AND HEALTH SERVICES, INC.
Practice address
3655 Old Court Rd Ste 12
Pikesville, MD 21208-3905
Phone
(443) 929-1928
NPI assigned
Jan 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Authorized official

Name
Mr. Cathlyn Clarke
Title
Executive Director
Phone
(443) 929-1928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3655 Old Court Rd Ste 12
Pikesville, MD 21208-3905

Mailing address

3655 Old Court Rd Ste 12
Pikesville, MD 21208-3905
Phone (443) 929-1928

Other practice location 1

3806 Edgewood Rd
Baltimore, MD 21215-7206
Phone (443) 929-1928

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221206001834 MD Part B Supplier - Clinic/Group Practice 4981082187 Receives reassigned benefits from 1 practitioner
Practice locations: Pikesville, MD

National Provider Directory

National Provider Directory
Tax ID family
CC Advocacy and Health Services7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

3655 Old Court Rd
Ste 12
Pikesville, MD 21208
Phone (410) 800-2545

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": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1972191518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 OLD COURT RD STE 12",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083905",
            "telephone_number": "443-929-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 OLD COURT RD STE 12",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083905",
            "telephone_number": "443-929-1928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3806 Edgewood Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212157206",
            "country_code": "US",
            "telephone_number": "443-929-1928",
            "fax_number": "888-505-6793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C&C ADVOCACY AND HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "CATHLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-929-1928",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.