CONCERTED CARE GROUP BALTIMORE SUBSTANCE USE SERVICES (NPI# 1235520420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235520420 |
| Entity Type | Organization |
| Organization Name | CONCERTED CARE GROUP BALTIMORE SUBSTANCE USE SERVICES |
| Practice Address |
428 E 25th St Baltimore MD 21218-5304 |
| Practice Telephone | 4106170142 |
| Practice Fax Number | 4438736975 |
| Mailing Telephone | 4106170142 |
| Mailing Fax Number | 4438736975 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-09-30 |
| Authorized Official Name | MS. BARBARA A WAHL (BUSINESS OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 6672393205 |
| Authorized Official Credential | RN, MA |
| Is Organization Subpart | Y |
| Parent Organization Name | CCG MANAGEMENT LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
251B00000X | MD | Ambulatory Health Care Facilities |
| Street Address |
428 E 25TH ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033220710 | Paula R Mascendaro | Nurse Practitioner | 428 E 25th St, Baltimore, MD 21218-5304 | 2006-08-31 |
| 1184235848 | Concerted Care Group Baltimore, LLC | Clinic/Center | 428 E 25th St, Baltimore, MD 21218-5304 | 2020-08-14 |
| 1740837921 | Jacob Rodriguez | Registered Nurse | 428 E 25th St, Baltimore, MD 21218-5304 | 2019-08-21 |
| 1669931226 | Tashica Monique Halyard | Counselor | 428 E 25th St, Baltimore, MD 21218-5304 | 2019-03-13 |
| 1619475142 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 428 E 25th St, Baltimore, MD 21218-5304 | 2018-01-30 |
| 1649778127 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 428 E 25th St, Baltimore, MD 21218-5304 | 2018-01-30 |
| 1225544810 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 428 E 25th St, Baltimore, MD 21218-5304 | 2017-12-19 |
| 1538529771 | Steven Whitefield Md LLC | Clinic/Center | 428 E 25th St, Baltimore, MD 21218-5304 | 2016-03-01 |
| 1760853212 | Harwood Behavioral Health Partners, LLC | Clinical Medical Laboratory | 428 E 25th St, Baltimore, MD 21218-5304 | 2015-10-09 |
| 1013388651 | Harwood Health | Clinic/Center | 428 E 25th St, Baltimore, MD 21218-5304 | 2015-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575638 | The Regeneration Project LLC | Clinic/Center | 2701 N Charles St Ste 401, Baltimore, MD 21218-5061 | 2019-05-29 |
| 1922597780 | Catherine Talbot Murphy | Clinic/Center | 1994 Cromwell Bridge Rd, Baltimore, MD 21234-1418 | 2018-05-08 |
| 1679073498 | Impacting Tomorrow Health Center | Clinic/Center | 1120 N Charles St Ste 500, Baltimore, MD 21201-5518 | 2018-02-19 |
| 1104326487 | Epiphany Family Services- Maryland LLC | Clinic/Center | 5900 York Rd Ste 202, Baltimore, MD 21212-3098 | 2018-02-13 |
| 1184134538 | We Did Dat Recovery Center | Clinic/Center | 609 George St, Baltimore, MD 21201-1353 | 2017-10-11 |
| 1730629486 | Plesant Housing Behavioral Services | Clinic/Center | 114 E 25th St, Baltimore, MD 21218-5214 | 2017-02-28 |
| 1801264841 | Homecentris Community Care, LLC | Clinic/Center | 3617 Fords Ln, Baltimore, MD 21215-2900 | 2015-09-08 |
| 1093183030 | Homecentris Community Care, LLC | Clinic/Center | 1500 Bedford Ave, Baltimore, MD 21208 | 2015-09-08 |
| 1831508829 | Kelli K Mccallum | Clinic/Center | 3721 Chesmont Ave, Baltimore, MD 21206-5041 | 2014-08-05 |
| 1831446574 | Collaborate Care Pharmacy & Wellness Center LLC | Clinic/Center | 3305 Garrison Blvd, Baltimore, MD 21216-1323 | 2012-08-13 |
| 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.