MIGHTY BEHAVIORAL HEALTH SERVICES (NPI# 1982223194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982223194 |
| Entity Type | Organization |
| Organization Name | MIGHTY BEHAVIORAL HEALTH SERVICES |
| Practice Address |
11 E Lexington St Ste 600 Baltimore MD 21202-1711 |
| Practice Telephone | 6672602933 |
| Practice Fax Number | 6676602167 |
| Mailing Telephone | 6672602933 |
| Mailing Fax Number | 6676602167 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | BISRAT MESFIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5129472747 |
| Authorized Official Credential | CRNP-PMH |
| Is Organization Subpart | Y |
| Parent Organization Name | MIGHTY BEHAVIORAL HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720569882 | Mighty Behavioral Health Services | Nurse Practitioner | 11 E Lexington St Ste 600, Baltimore, MD 21202-1711 | 2018-08-27 |
| 1669081576 | Mighty Behavioral Health Services | Clinic/Center | 11 E Lexington St Ste 600, Baltimore, MD 21202-1711 | 2020-07-27 |
| 1306475710 | Mighty Behavioral Health Services | Clinic/Center | 11 E Lexington St Ste 600, Baltimore, MD 21202-1711 | 2020-04-07 |
| 1073142477 | Mighty Behavioral Health Services | Clinic/Center | 11 E Lexington St Ste 600, Baltimore, MD 21202-1711 | 2020-04-07 |
| Street Address |
11 E LEXINGTON ST STE 600 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720569882 | Mighty Behavioral Health Services | Nurse Practitioner | 11 E Lexington St Ste 600, Baltimore, MD 21202-1711 | 2018-08-27 |
| 1013516590 | Yohannes Berihun Tegegne | Nurse Practitioner | 11 E Lexington St Ste 600, Baltimore, MD 21202-1711 | 2020-10-26 |
| 1669081576 | Mighty Behavioral Health Services | Clinic/Center | 11 E Lexington St Ste 600, Baltimore, MD 21202-1711 | 2020-07-27 |
| 1306475710 | Mighty Behavioral Health Services | Clinic/Center | 11 E Lexington St Ste 600, Baltimore, MD 21202-1711 | 2020-04-07 |
| 1073142477 | Mighty Behavioral Health Services | Clinic/Center | 11 E Lexington St Ste 600, Baltimore, MD 21202-1711 | 2020-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817075 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 1fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1851998892 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
| 1275148975 | Hel Recovery Center | Clinic/Center | 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 | 2020-09-10 |
| 1497365654 | Inspiring Change Mental Health Services, LLC. | Clinic/Center | 4654 York Rd Ste 1, Baltimore, MD 21212-4726 | 2020-08-03 |
| 1174132518 | Sabinas House LLC | Clinic/Center | 3103 Mareco Ave, Baltimore, MD 21213-1619 | 2020-07-30 |
| 1134738909 | Sabinas House LLC | Clinic/Center | 2224 Dukeland St, Baltimore, MD 21216-2812 | 2020-07-28 |
| 1881203792 | Sabinas House LLC | Clinic/Center | 3325 Shannon Dr, Baltimore, MD 21213-1823 | 2020-07-27 |
| 1356950265 | Sabinas House LLC | Clinic/Center | 616 Wildwood Pkwy, Baltimore, MD 21229-1810 | 2020-07-27 |
| 1598374407 | Sabinas House LLC | Clinic/Center | 605 Springfield Ave, Baltimore, MD 21212-4832 | 2020-07-27 |
| 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.