NORTHWEST BALTIMORE YOUTH SERVICES, INC. (NPI# 1386620649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386620649 |
| Entity Type | Organization |
| Organization Name | NORTHWEST BALTIMORE YOUTH SERVICES, INC. |
| Practice Address |
3319 W Belvedere Ave Baltimore MD 21215-5103 |
| Practice Telephone | 4105788100 |
| Practice Fax Number | 4435242628 |
| Mailing Telephone | 4105788100 |
| Mailing Fax Number | 4435242628 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2009-08-13 |
| Authorized Official Name | MS. AUDREY F. BENNETT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4105788100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | 903676 | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 21546 | 122447 | 01 |
| Street Address |
3319 W BELVEDERE AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194281295 | Jessica Angel Thomas | Counselor | 3319 W Belvedere Ave, Baltimore, MD 21215-5143 | 2019-02-13 |
| 1225586639 | William Wasson | Social Worker | 3319 W Belvedere Ave, Attn: Credentialing, Baltimore, MD 21215-5143 | 2016-09-14 |
| 1295100568 | Treatment Resources for Youth, Inc. | Clinic/Center | 3319 W Belvedere Ave, Baltimore, MD 21215-5143 | 2015-12-11 |
| 1942670799 | Andrea Pellom | Dental Hygienist | 3319 W Belvedere Ave, Baltimore, MD 21215-5143 | 2015-10-05 |
| 1194950782 | Tyronnia Aarone Jones | Registered Nurse | 3319 W Belvedere Ave, Baltimore, MD 21215-5143 | 2009-05-26 |
| 1821234592 | Heinz Nagel | Pediatrics | 3319 W Belvedere Ave, Baltimore, MD 21215-5143 | 2008-12-30 |
| 1619187218 | Parkwest Health Systems, Inc | Pharmacy | 3319 W Belvedere Ave, Baltimore, MD 21215-5103 | 2007-05-23 |
| 1124242920 | Parkwest Health Systems Inc | Clinic/Center | 3319 W Belvedere Ave, Baltimore, MD 21215-5103 | 2007-04-12 |
| 1306980073 | Tanzania Vicino | Obstetrics & Gynecology | 3319 W Belvedere Ave, Baltimore, MD 21215-5103 | 2007-02-16 |
| 1306992714 | Lawrence Bernard Johnson | Pediatrics | 3319 W Belvedere Ave, Baltimore, MD 21215-5103 | 2007-01-26 |
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| 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 | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326408139 | The Children's House At Johns Hopkins, Inc. | Voluntary or Charitable | 1915 Mcelderry St, Baltimore, MD 21205-2213 | 2016-03-07 |
| 1972906915 | John Brantley | Voluntary or Charitable | 1539 Sheffield Rd, Baltimore, MD 21218-1633 | 2014-10-05 |
| 1104261585 | Gaudenzia, Inc | Voluntary or Charitable | 4450 Park Heights Ave, Baltimore, MD 21215-6324 | 2013-04-30 |
| 1275851347 | Peace of Mind Services, Inc | Voluntary or Charitable | 1000 Cahedral Street, Baltimore, MD 21201 | 2010-05-13 |
| 1164667341 | A Reason To Recover Inc. | Voluntary or Charitable | 3325 Brendan Ave, Baltimore, MD 21213-1842 | 2008-12-02 |
| 1083706725 | The Hearing and Speech Agency | Voluntary or Charitable | 5900 Metro Dr, Baltimore, MD 21215-3207 | 2006-09-29 |
| 1013427863 | 2 God B The Glory Recovery Family Center | Voluntary or Charitable | 339 Bloom St, Baltimore, MD 21217-4598 | 2017-10-06 |
| 1467901454 | Community Bridge Builders Inc | Voluntary or Charitable | 5900 York Rd, Suite 206, Baltimore, MD 21212-3041 | 2016-10-02 |
| 1427490218 | Serene Living | Voluntary or Charitable | 5417 Daywalt Ave, Baltimore, MD 21206-4436 | 2013-07-23 |
| 1114369121 | Temple Ministries Inc. | Voluntary or Charitable | 2453 Maryland Ave, Baltimore, MD 21218-5018 | 2013-07-19 |
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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.