BEHAVIORAL HEALTH LEADERSHIP INSTITUTE, INC


Address: 401 Edgar Street (van), Baltimore, MD 21202
Phone: 4103675878

BEHAVIORAL HEALTH LEADERSHIP INSTITUTE, INC (NPI# 1326525973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326525973
Entity Type Organization
Organization Name BEHAVIORAL HEALTH LEADERSHIP INSTITUTE, INC
Practice Address 401 Edgar Street (van)
Baltimore
MD 21202
Mailing Address 2200 Arden Rd
Baltimore
MD 21209-4205
Practice Telephone 4103675878
Mailing Telephone 4103675878
Enumeration Date 2018-07-26
Last Update Date 2018-07-26
Authorized Official Name DEBORAH AGUS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4103675878
Authorized Official Credential JD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 401 EDGAR STREET (VAN)
City BALTIMORE
State MD
Zip Code 21202

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NPI Name Taxonomy Address Enumeration
1750938650 Anthony Graves Behavior Technician 414 Light Street, Baltimore, MD 21202 2019-08-25
1235786609 Perfected Medical Billing & Consulting Service Inc. Rehabilitation Counselor 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 2019-08-21
1700430246 Ronie George Nurse Practitioner 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 2019-08-01
1750940185 Katherine Wachter Mullins Social Worker 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 2019-06-10
1720647175 Ivelysse Claudio Cortes Speech-Language Pathologist Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 2019-06-10
1497314157 Debera Marie Reznitsky Speech-Language Pathologist 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 2019-06-06
1154989952 Zirka Oksanna Hanas Speech-Language Pathologist 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 2019-06-05
1750946224 Lareneque Bartholomew Counselor 110 East Lexington Street, Suite 200, Baltimore, MD 21202 2019-05-09
1700349602 Strategies, Inc. Behavior Analysis & Therapeutic Services Behavioral Analyst 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 2019-04-09
1902384068 Medical Practice Billing and Solution, LLC Clinic/Center 224 N Gay Street, Baltimore, MD 21202 2018-08-01
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Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760913297 Rek Advanced Therapeutic Solutions Internal Medicine 6419 York Rd # A, Ste 100, Baltimore, MD 21212-2144 2017-03-26
1770575326 Howard Byron Cohen Internal Medicine 6717 Park Heights Ave, Baltimore, MD 21215-2443 2005-08-19
1376801654 Aditi Ringwala Internal Medicine 22 S Greene St, Baltimore, MD 21201-1544 2012-04-24
1174660930 Donald Robert Jasinski Sr. Internal Medicine 5200 Eastern Ave, Mfl Bldg West Tower 2nd Floor, Baltimore, MD 21224-2734 2007-01-31
1962555292 Annie -- Umbricht Internal Medicine 5510 Nathan Shock Dr, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224-6823 2007-01-19
1871566125 Michael Hayes Internal Medicine 827 Linden Ave, Baltimore, MD 21201-4606 2006-02-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619514049 Dundalk Medical Group Internal Medicine 207 Wise Avenue, Dundalk, MD 21222-4911 2019-12-04
1356801534 Matclinic Physicians Practice Group LLC Internal Medicine 107 Ridgely Ave Ste 12, Annapolis, MD 21401-1417 2019-03-22
1457604944 Justin Colin Everson Internal Medicine Building 19h, Room 270, Perry Point Va Medical Center, Perry Point, MD 21902 2012-10-21
1033323795 Harry Calvin Stein Internal Medicine 11140 Rockville Pike Ste 400, Rockville, MD 20852-3104 2007-05-10
1093738635 Nurul Amin Chowdhury Internal Medicine 5721 Grosvenor Ln, Bethesda, MD 20814-1833 2006-07-25
1407402506 Mitchell Ira Burken Internal Medicine 5716 Industry Ln, Frederick, MD 21704-5224 2019-08-14
1497161483 Chase Brexton Health Care Internal Medicine 200 Hospital Drive, Suite 300, Glen Burnie, MD 21061-5877 2014-07-10
1245474063 Fidelis Caroline Define Internal Medicine 6701 N Charles St, 4104, Towson, MD 21204-6808 2009-04-23
1437297512 Arthur Charles Marsh Internal Medicine 323 Broad St, Salisbury, MD 21801-4949 2007-02-02

Competitor

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City BALTIMORE
Zip Code 21202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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