PIKESVILLE HEALTH SERVICES LLC NPI 1477098044

NPI Information

NPI: 1477098044
Provider Name: PIKESVILLE HEALTH SERVICES LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1209 GREENWOOD RD
BALTIMORE, MD
ZIP 21208
Phone: (410) 484-8500
Get Directions

PIKESVILLE HEALTH SERVICES LLC is an adult mental health clinic center in Baltimore, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PIKESVILLE HEALTH SERVICES LLC NPI is 1477098044. The provider is registered as an organization entity type.

The provider's business location address is:

1209 GREENWOOD RD
BALTIMORE, MD
ZIP 21208-609
Phone: (410) 484-8500

The provider's authorized official is Amiel Chicheportiche .
The authorized official title is Program Sponsor and has the following contact phone number (410) 484-8500.

The enumeration date for this NPI number is 1/5/2017 and was last updated on 1/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	906136	MARYLAND	No
2	261QM0850X	Clinic/Center	Adult Mental Health	906136	MARYLAND	Yes
3	261QM2800X	Clinic/Center	Methadone	906136	MARYLAND	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	906136	MARYLAND	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	899655	OTHER	MARYLAND	BEACON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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