Addiction Treatment of Maryland

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ADDICTION TREATMENT OF MARYLAND

Practice address

312 Hornel St
Baltimore, MD 21224-2805

Phone

(443) 676-6800

NPI assigned

Jan 17, 2023

Organization subpart

Yes

Parent organization

ADDICTION TREATMENT OF MARYLANDAs reported in NPPES

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

Authorized official

Name

Mrs. Christina Dimemmo, CSC-AD

Title

Coo

Phone

(443) 376-6800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hornell Other name

Electronic endpoints 1

Tax ID family

Addiction Treatment of Maryland LLC4 organizations share this tax ID, including this one

Part of

Addiction Treatment of Maryland LLC

Other organizations with this tax ID 3

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

• Addiction Treatment of Maryland

  • Mental Illness Community Based Residential Treatment Facility
  • Essex, MD
  • NPI 1649009234
  NPD tax ID
• Addiction Treatment of Maryland

  • Mental Illness Community Based Residential Treatment Facility
  • Pasadena, MD
  • NPI 1679321954
  NPD tax ID
• Addiction Treatment of Maryland LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1609335702
  NPD tax ID

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1972218725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CENTER PL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212224362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HORNEL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242805",
            "telephone_number": "443-676-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION TREATMENT OF MARYLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDICTION TREATMENT OF MARYLAND",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "DIMEMMO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "443-376-6800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CSC-AD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "312 Hornel St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212242805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hornell",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tiffany Rene Adams, LCSW-C
• Dorothy Estella Adamson Holley, PH.D., LCSW-C
• Sumaya Adan
• Kristen Marie Adashi, M.D.
• Katherine Kafei Addai, MD
• Addiction Treatment of Maryland LLC
• Addictions Counseling Service of Maryland
• Addis Consulting Inc.
• Addis Consulting Inc.
• Jennifer Addis, PMHNP-BC

• Substance Abuse Rehabilitation Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.