NPIMap

Organization Active NPI

Prolific Health Programs, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1992491385
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROLIFIC HEALTH PROGRAMS, LLC
Practice address
1005 Northpoint Blvd Ste 707
Baltimore, MD 21224-3402
Phone
(443) 422-7849
NPI assigned
Apr 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Raquel Lyons, RN
Title
Owner
Phone
(443) 422-7849

Specialties & licenses 1

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

Addresses

Primary practice location

1005 Northpoint Blvd Ste 707
Baltimore, MD 21224-3402

Mailing address

1005 Northpoint Blvd Ste 707
Baltimore, MD 21224-3402
Phone (443) 422-7849

National Provider Directory

National Provider Directory
Tax ID family
Prolific Health Programs LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1992491385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 NORTHPOINT BLVD STE 707",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243402",
            "telephone_number": "443-422-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 NORTHPOINT BLVD STE 707",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243402",
            "telephone_number": "443-422-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIFIC HEALTH PROGRAMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-422-7849",
        "authorized_official_credential": "RN"
    },
    "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 Apr 18, 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.