PITOC-BEHAVIORAL HEALTH SYSTEMS, LLC (NPI# 1285042283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285042283 |
| Entity Type | Organization |
| Organization Name | PITOC-BEHAVIORAL HEALTH SYSTEMS, LLC |
| Other Organization Name | PITOC-BEHAVIORAL HEALTH SYSTEMS, LLC |
| Practice Address |
16 W 25th St Baltimore MD 21218-5002 |
| Mailing Address |
Po Box 7921 Essex MD 21221-0921 |
| Practice Telephone | 4436825807 |
| Mailing Telephone | 4436825807 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |
| Authorized Official Name | OMORUYI EPHRAIM K OKUNDAYE (PINCIPAL INVESTIGATOR-CEO) |
| Authorized Official Telephone | 4436825807 |
| Authorized Official Credential | MSW, LCSW-C, LCA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 17618 | MD | Residential Treatment Facilities |
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
LCA369 | MD | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| PITOC-Behavioral Health Systems, LLC | Doing Business As Name - Organization |
| Street Address |
16 W 25TH ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437279775 | Richard Donowitz | Counselor | 16 W 25th St, Suite101, Baltimore, MD 21218-5002 | 2007-03-30 |
| 1699200816 | Standing Strong Nursing Inc | In Home Supportive Care | 16 W 25th St, Suite 201 Room B, Baltimore, MD 21218-5002 | 2017-04-25 |
| 1871900845 | Omoruyi Ephraim Okundaye | Counselor | 16 W 25th St, Baltimore, MD 21218-5002 | 2014-07-22 |
| 1285987479 | Richard Yerachmiel Donowitz | Counselor | 16 W 25th St, Suite 101, Baltimore, MD 21218-5002 | 2012-10-25 |
| 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 | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697640 | Peaceful Minds Residential Services | Substance Abuse Rehabilitation Facility | 3704 S Hanover St, Baltimore, MD 21225-1773 | 2020-10-22 |
| 1215548573 | Peaceful Minds Residential Services | Substance Abuse Rehabilitation Facility | 3704 S Hanover St Unit 2a2b, Baltimore, MD 21225-1773 | 2020-08-11 |
| 1124223979 | Collington Square Non Profit Corporation | Substance Abuse Rehabilitation Facility | 1211 N Chester St, Baltimore, MD 21213-3330 | 2007-06-20 |
| 1316546823 | Peaceful Minds Residential Services | Substance Abuse Rehabilitation Facility | 3704 S Hanover St, Baltimore, MD 21225-1773 | 2020-10-26 |
| 1972128239 | Transformation Healthcare Inc. | Substance Abuse Rehabilitation Facility | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1280 | 2020-06-12 |
| 1376182683 | Reach LLC | Substance Abuse Rehabilitation Facility | 1 N Charles St Ste 222, Baltimore, MD 21201-3710 | 2020-01-03 |
| 1285277343 | Inspiring Change Mental Health Services, LLC. | Substance Abuse Rehabilitation Facility | 4654 York Rd, Baltimore, MD 21212-4726 | 2019-10-22 |
| 1043784184 | Helping Our Youth Achieve Psychiatric Rehabilitation Program | Substance Abuse Rehabilitation Facility | 5525 Belair Rd, Baltimore, MD 21206-3654 | 2019-01-11 |
| 1598272312 | All Walks of Life, LLC | Substance Abuse Rehabilitation Facility | 107 E 25th St, Baltimore, MD 21218-5213 | 2018-01-02 |
| 1619407129 | Change Health Systems, Inc | Substance Abuse Rehabilitation Facility | 2401 Liberty Heights Ave Ste 4670, Baltimore, MD 21215-8032 | 2017-06-18 |
| 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.