NPIMap

Organization Active NPI

Building Bridges of Baltimore, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1992325302
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BUILDING BRIDGES OF BALTIMORE, LLC
Practice address
1314 Bedford Ave Ste 210a
Baltimore, MD 21208-6605
Phone
(443) 744-8994
NPI assigned
Apr 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Kate Shamis
Title
Owner
Phone
(410) 978-2317

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

1314 Bedford Ave Ste 210a
Baltimore, MD 21208-6605

Mailing address

500 Main St Ste B
Reisterstown, MD 21136-1997
Phone (410) 978-2317

Other practice location 1

500 Main St Ste B
Reisterstown, MD 21136-1997
Phone (410) 978-2317

Other identifiers 1

IdentifierTypeStateIssuer
200409771OtherMDBEHAVIORAL HEALTH PRP LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Building Bridges of Baltimore LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

500 Main St
Ste B
Reisterstown, MD 21136
Phone (410) 978-2317

NPI Registry JSON

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

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1992325302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAIN ST STE B",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361997",
            "telephone_number": "410-978-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 BEDFORD AVE STE 210A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086605",
            "telephone_number": "443-744-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Reisterstown",
            "state": "MD",
            "postal_code": "211361997",
            "country_code": "US",
            "telephone_number": "410-978-2317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUILDING BRIDGES OF BALTIMORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-26",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "SHAMIS",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-978-2317"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH PRP LICENSE NUMBER",
            "identifier": "200409771",
            "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 Aug 21, 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.