JOHNS HOPKINS BAYVIEW MEDICAL CENTER (NPI# 1639231541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639231541 |
| Entity Type | Organization |
| Organization Name | JOHNS HOPKINS BAYVIEW MEDICAL CENTER |
| Other Organization Name | COMMUNITY PSYCHIATRY - OFF SITE SERVICES |
| Practice Address |
1821 Portal Street Suite B Baltimore MD 21224-6518 |
| Mailing Address |
Po Box 632053 Baltimore MD 21263-0001 |
| Practice Telephone | 4105500070 |
| Practice Fax Number | 4105501061 |
| Mailing Telephone | 4439970001 |
| Mailing Fax Number | 4439970011 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2010-12-13 |
| Authorized Official Name | MR. RONALD J WERTHMAN (VP, FINANCE, TREASURER, CFO, JHHS) |
| Authorized Official Telephone | 4109556552 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
30005 | MD | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
30005 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 341475200 | 05 | |
| MA CONTRACTOR | 58853110 | 01 | |
| MA CONTRACTOR | 046611500 | 01 |
| Other Name | Type Code |
|---|---|
| Community Psychiatry - Off Site Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295932580 | Johns Hopkins Bayview Medical Center | Community/Behavioral Health | 4940 Eastern Ave, D 3 E, Baltimore, MD 21224-2735 | 2007-06-29 |
| Street Address |
1821 PORTAL STREET SUITE B |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21224-6518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831252543 | Johns Hopkins Health System | Clinic/Center | 1821 Portal Street, Suite B, Baltimore, MD 21224 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595517 | Lisa Farinelli | Registered Nurse | 251 Bayview Bldv, Baltimore, MD 21224 | 2020-07-17 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1194288431 | Tawny Meagan Epperson | Counselor | 5500 E Lombard Street, Community Psychiatry, Child Mobile Treatment Services, Baltimore, MD 21224 | 2019-04-12 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| 1588193437 | Heather Ann Sand | Social Worker | 1501 S Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224 | 2017-06-05 |
| 1912447822 | Jennifer Ann Maser Hermann | Counselor | 4637 Hudson Street, Baltimore, MD 21224 | 2017-02-27 |
| Find all providers in zip 21224 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724513 | S and S Properties 3 | Clinic/Center | 6122 Reisterstown Rd, Baltimore, MD 21215-3423 | 2020-09-11 |
| 1205440195 | Kevin Eugene Harvell | Clinic/Center | 3435 Greenmount Ave Ste 1, Baltimore, MD 21218-2942 | 2020-09-08 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1437714862 | Bolton Therapy & Wellness | Clinic/Center | 1534 Bolton St Ste 1, Baltimore, MD 21217-4203 | 2019-05-01 |
| 1659883304 | Clear Horizons | Clinic/Center | 2317 W Patapsco Ave, Baltimore, MD 21230-2815 | 2017-11-02 |
| 1841702321 | Maryland Children's Institute, Inc. | Clinic/Center | 859 1/2 N Howard St Fl 1, Baltimore, MD 21201-4696 | 2017-10-24 |
| 1477064251 | Helping Our Youth Achieve Psychiatric Rehabilitation Program | Clinic/Center | 5525 Belair Rd, Baltimore, MD 21206-3654 | 2017-10-19 |
| 1467973149 | Thor Learning Center | Clinic/Center | 4640 Edmondson Ave Fl 1, Baltimore, MD 21229-1407 | 2017-07-03 |
| 1144693540 | Akila Cares, LLC | Clinic/Center | 5160 Baltimore National Pike, Baltimore, MD 21229-1121 | 2015-11-06 |
| 1326416629 | Associated Catholic Charities | Clinic/Center | 606 Cherry Hill Rd, Suite 200, Baltimore, MD 21225-2012 | 2015-09-03 |
| Find all providers in BALTIMORE | ||||
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| 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.