Organization Active NPI

Hoya Maryland LLC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1972356723
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HOYA MARYLAND LLC
Practice address
1120 N Charles St Ste 415
Baltimore, MD 21201-5500
Phone
(443) 435-4771
NPI assigned
Apr 10, 2024
Organization subpart
Yes
Parent organization
HELPING OUR YOUTH ACHIEVE PSYCHIATRIC REHABILITATION PROGRAMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Paul Grant, MS
Title
Owner/ Director
Phone
(443) 435-4771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1120 N Charles St Ste 415
Baltimore, MD 21201-5500

Mailing address

1120 N Charles St Ste 415
Baltimore, MD 21201-5500
Phone (443) 435-4771

Other identifiers 1

IdentifierTypeStateIssuer
D19012772MedicaidMD

National Provider Directory

National Provider Directory
Part of
Helping Our Youth Achieve Case Management

Locations

1120 N Charles St
Ste 415
Baltimore, MD 21201
Phone (443) 435-4771

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1972356723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N CHARLES ST STE 415",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015500",
            "telephone_number": "443-435-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N CHARLES ST STE 415",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015500",
            "telephone_number": "443-435-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOYA MARYLAND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HELPING OUR YOUTH ACHIEVE PSYCHIATRIC REHABILITATION PROGRAM",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "443-435-4771",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D19012772",
            "state": "MD"
        }
    ],
    "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 Apr 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.