BON SECOURS HOSPITAL BALTIMORE, INC (NPI# 1780195842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780195842 |
| Entity Type | Organization |
| Organization Name | BON SECOURS HOSPITAL BALTIMORE, INC |
| Other Organization Name | BON SECOURS BEHAVIORAL HEALTH SERVICES |
| Practice Address |
3101 Towanda Ave Baltimore MD 21215-7827 |
| Mailing Address |
2000 W Baltimore St # Ew330 Baltimore MD 21223-1558 |
| Practice Telephone | 4103834978 |
| Mailing Telephone | 4103623000 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Authorized Official Name | SAMUEL L ROSS (CEO) |
| Authorized Official Telephone | 4103623603 |
| Authorized Official Credential | MD, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bon Secours Behavioral Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923126 | Bon Secours Hospital Baltimore, Inc | Social Worker | 2401 W Baltimore St, Baltimore, MD 21223-2134 | 2017-10-17 |
| 1497205066 | Bon Secours Hospital Baltimore, Inc | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-07 |
| 1831649466 | Bon Secours Hospital Baltimore, Inc | Psychiatric Unit | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-06 |
| 1316497944 | Bon Secours Hospital Baltimore, Inc | Psychiatric Unit | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-06 |
| 1417407040 | Bon Secours Hospital Baltimore, Inc | Psychiatric Unit | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-06 |
| Street Address |
3101 TOWANDA AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-7827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518154582 | Chonita Booker-tindall | Social Worker | 3101 Towanda Ave, Baltimore, MD 21215-7827 | 2007-10-03 |
| 1609288927 | Bon Secours Baltimore Health System | Community/Behavioral Health | 3101 Towanda Ave, Baltimore, MD 21215-7827 | 2014-05-21 |
| 1184954836 | Bon Secours | Community/Behavioral Health | 3101 Towanda Ave, Baltimore, MD 21215-7827 | 2009-12-31 |
| 1346579919 | Robert Louis Levine | Social Worker | 3101 Towanda Ave, Baltimore, MD 21215-7827 | 2009-12-10 |
| 1033307095 | Antesha Milton | Social Worker | 3101 Towanda Ave, Baltimore, MD 21215-7827 | 2007-10-04 |
| 1568659555 | Judie Thompson-stokes | Social Worker | 3101 Towanda Ave, Baltimore, MD 21215-7827 | 2007-10-03 |
| 1104045368 | Bon Secours Hospital, Inc. Dba Community Institute of Behavioral Servi | Clinic/Center | 3101 Towanda Ave, Baltimore, MD 21215-7827 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554793 | G & E Behavioral Health Services, LLC | Psychiatry & Neurology | 224 N Gay Street 2nd Floor, Baltimore, MD 21202-1511 | 2020-09-29 |
| 1427676071 | Equilibrium Behavioral Health LLC | Psychiatry & Neurology | 821 Key Hwy, Baltimore, MD 21230-3921 | 2020-07-10 |
| 1861017162 | Transformation Healthcare Inc. | Psychiatry & Neurology | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1280 | 2020-06-11 |
| 1346870326 | American Psychiatric Care LLC | Psychiatry & Neurology | 5224 Harford Rd, Baltimore, MD 21214-2686 | 2020-01-18 |
| 1942856133 | American Psychiatric Group, P.a. | Psychiatry & Neurology | 17 E Franklin St Ste A, Baltimore, MD 21202-2203 | 2019-08-13 |
| 1992216493 | Families First Counseling and Psychiatry, LLC | Psychiatry & Neurology | 1011 N Charles St Ste 1, Baltimore, MD 21201-5416 | 2017-10-24 |
| 1952827073 | Via Clinic, LLC | Psychiatry & Neurology | 5100 Falls Rd Ste 140, Baltimore, MD 21210-1935 | 2017-08-21 |
| 1023499571 | Swaminathan Thangaraj | Psychiatry & Neurology | 1800 Orleans St Rm 12347, Baltimore, MD 21287 | 2015-06-10 |
| 1013334929 | Crystal Diane Salcido | Psychiatry & Neurology | 855 N Wolfe St Ste 300, Baltimore, MD 21205 | 2014-03-28 |
| 1134546062 | Natalie Beaty | Psychiatry & Neurology | 305 Washington Avenue Suite 500, Baltimore, MD 21204 | 2014-03-28 |
| 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.