CITYWIDE BEHAVIORAL HEALTH (NPI# 1881100857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881100857 |
| Entity Type | Organization |
| Organization Name | CITYWIDE BEHAVIORAL HEALTH |
| Other Organization Name | CITYWIDE HEALTH CORPORATION |
| Practice Address |
17 Warren Rd Ste 20b Baltimore MD 21208-5334 |
| Practice Telephone | 4109292314 |
| Practice Fax Number | 4104848107 |
| Mailing Telephone | 4109292314 |
| Mailing Fax Number | 4104848107 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |
| Authorized Official Name | PAMELA JOHNSON (OWNER) |
| Authorized Official Telephone | 4102748688 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Citywide Health Corporation | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723556 | Citywide Behavioral Health | Psychiatric Residential Treatment Facility | 17 Warren Rd, Pikesville, MD 21208-5334 | 2020-09-02 |
| 1982237491 | Citywide Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 17 Warren Rd Ste 20b, Baltimore, MD 21208-5334 | 2020-02-13 |
| 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 |
|---|---|---|---|---|
| 1982237491 | Citywide Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 17 Warren Rd Ste 20b, Baltimore, MD 21208-5334 | 2020-02-13 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697533 | Brighter Days Recovery Center | Nurse Practitioner | 2439 E Lafayette Ave, Baltimore, MD 21213-2562 | 2020-10-23 |
| 1023635877 | Emu Godspower Ohwobete | Nurse Practitioner | 6 Aspinwood Way Apt E, Baltimore, MD 21237-4210 | 2020-06-28 |
| 1922623891 | A Platform To Healthcare | Nurse Practitioner | 2701 E Monument St Ste 102, Baltimore, MD 21205-2632 | 2020-06-16 |
| 1740804749 | Lawretta Orobosa Jinadu | Nurse Practitioner | 950 Southerly Rd, Baltimore, MD 21204-2756 | 2020-06-04 |
| 1205458536 | Raphael Ernest Gikonyo | Nurse Practitioner | 100 Walnut Ave, Baltimore, MD 21206-1032 | 2020-05-08 |
| 1336768787 | Sylvianne Akum | Nurse Practitioner | 7531 Roxy Dr, Baltimore, MD 21244-2064 | 2020-04-15 |
| 1801444716 | Fore Counselling Health Centre | Nurse Practitioner | 821 N Eutaw St Ste 202, Baltimore, MD 21201-6302 | 2019-09-04 |
| 1659929487 | Malama Medical, LLC | Nurse Practitioner | 34 York Ct, Baltimore, MD 21218-1248 | 2019-08-26 |
| 1679128680 | Catherine O Nwah | Nurse Practitioner | 6416 Martinique Rd, Baltimore, MD 21237-2046 | 2019-08-06 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 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.