NPIMap

Organization Active NPI

Reflections Recovery Program

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1972319390
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REFLECTIONS RECOVERY PROGRAM
Practice address
6116 Everall Ave
Baltimore, MD 21206-1931
Phone
(240) 401-1141
NPI assigned
Dec 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Melissa Shade
Title
Compliance Officer
Phone
(443) 517-8724

Specialties & licenses 1

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

Addresses

Primary practice location

6116 Everall Ave
Baltimore, MD 21206-1931

Mailing address

6116 Everall Ave
Baltimore, MD 21206-1931
Phone (240) 401-1141

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1972319390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 EVERALL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061931",
            "telephone_number": "240-401-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 EVERALL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061931",
            "telephone_number": "240-401-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS RECOVERY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "SHADE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "443-517-8724"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Dec 10, 2024; 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.