CITYWIDE BEHAVIORAL HEALTH (NPI# 1982237491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982237491 |
| Entity Type | Organization |
| Organization Name | CITYWIDE BEHAVIORAL HEALTH |
| Practice Address |
17 Warren Rd Ste 20b Baltimore MD 21208-5334 |
| Practice Telephone | 4102748388 |
| Practice Fax Number | 4104848107 |
| Mailing Telephone | 4102748388 |
| Mailing Fax Number | 4104848107 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | PAMELA P JOHNSON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4102748388 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | Y |
| Parent Organization Name | CITYWIDE BEHAVIORAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Citywide 3.11 - Residential Program | Doing Business As Name - Organization |
| CITYWIDE BEHAVIORAL HEALTH | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881100857 | Citywide Behavioral Health | Clinical Nurse Specialist | 17 Warren Rd Ste 20b, Baltimore, MD 21208-5334 | 2017-12-28 |
| 1033723556 | Citywide Behavioral Health | Psychiatric Residential Treatment Facility | 17 Warren Rd, Pikesville, MD 21208-5334 | 2020-09-02 |
| 1083253900 | Citywide Behavioral Health | Nurse Practitioner | 17 Warren Rd Ste 20b, Pikesville, MD 21208-5334 | 2019-12-23 |
| 1891334710 | Citywide Behavioral Health | Nurse Practitioner | 17 Warren Rd Ste 20b, Pikesville, MD 21208-5334 | 2019-12-23 |
| 1417595588 | Citywide Behavioral Health | Nurse Practitioner | 17 Warren Rd Ste 20b, Pikesville, MD 21208-5334 | 2019-12-19 |
| Street Address |
17 WARREN RD STE 20B |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21208-5334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881100857 | Citywide Behavioral Health | Clinical Nurse Specialist | 17 Warren Rd Ste 20b, Baltimore, MD 21208-5334 | 2017-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292017 | Citywide Community Resources Corporation | Community/Behavioral Health | 17 Warren Road Suite 20b, Room 7, Pikesville, MD 21208 | 2019-12-13 |
| 1801442967 | Delight Health Care Services, LLC | Adult Companion | 8 Sudbrook Lane, Suite A, Pikesville, MD 21208 | 2019-08-14 |
| 1295398154 | Building Blocks Healthcare Network LLC | Counselor | 4000 Old Court Rd. Suite # 206, Pikesville, MD 21208 | 2019-04-17 |
| 1851892897 | For Hope's Sake, LLC. | Substance Abuse Rehabilitation Facility | 1326 Greenwood Rd, Baltimore, MD 21208 | 2018-02-26 |
| 1194254482 | One Day At A Time Personal Care LLC. | Home Health | 103 Sudbrook Lane, Suite9, Pikesville, MD 21208 | 2017-06-08 |
| 1871946467 | Lori Pasch | Social Worker | 7211 Park Heights Avenue, Suite 4, Baltimore, MD 21208 | 2016-07-19 |
| 1669822706 | Holly Hibbard | Physical Therapist | 575 South Charles Street, Suite 201, Baltimore, MD 21208 | 2016-06-20 |
| 1497102867 | Pikesville Health Services LLC | Clinic/Center | 1209 Greenwood Rd, Baltimore, MD 21208 | 2016-05-16 |
| 1093183030 | Homecentris Community Care, LLC | Clinic/Center | 1500 Bedford Ave, Baltimore, MD 21208 | 2015-09-08 |
| 1225413404 | Daniel Chernoff | Occupational Therapist | 3118 Marnat Rd, Baltimore, MD 21208 | 2015-07-29 |
| Find all providers in zip 21208 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568073815 | Peaceful Minds Residential Services | Community Based Residential Treatment Facility, Mental Illness | 2733 Ashland Ave, Baltimore, MD 21205-1734 | 2020-08-11 |
| 1134692320 | Passionate Hands Transitional Housing | Community Based Residential Treatment Facility, Mental Illness | 3507 W Rogers Ave, Baltimore, MD 21215-4742 | 2019-01-10 |
| 1548733868 | Passionate Hands Transitional Housing | Community Based Residential Treatment Facility, Mental Illness | 5201 Cuthbert Ave, Baltimore, MD 21215-5024 | 2019-01-09 |
| 1124591680 | The Johns Hopkins Hospital | Community Based Residential Treatment Facility, Mental Illness | 601 E Chase St, Baltimore, MD 21202-4208 | 2019-01-08 |
| 1023528304 | Passionate Hands Transitional Housing | Community Based Residential Treatment Facility, Mental Illness | 5203 Cuthbert Ave, Baltimore, MD 21215-5024 | 2017-10-02 |
| 1528290103 | Dayspring Programs, Inc | Community Based Residential Treatment Facility, Mental Illness | 1200 N Collington Ave, Baltimore, MD 21213-3313 | 2009-08-17 |
| 1245268309 | Volunteers of America Chesapeake Inc | Community Based Residential Treatment Facility, Mental Illness | 1825 Woodlawn Drive, #202, Baltimore, MD 21205-3003 | 2006-06-29 |
| 1467079954 | Tru Luv Management Lc | Community Based Residential Treatment Facility, Mental Illness | 1618 Sherwood Ave, Baltimore, MD 21239-2410 | 2020-06-30 |
| 1992320261 | Transformation Healthcare Inc. | Community Based Residential Treatment Facility, Mental Illness | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1273 | 2020-06-12 |
| 1356876379 | Carmelita's Cherubs | Community Based Residential Treatment Facility, Mental Illness | 6310 Greenspring Ave, 303, Baltimore, MD 21209-5500 | 2017-04-27 |
| 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.