HERITAGE TREATMENT CENTER (NPI# 1568058196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568058196 |
Entity Type | Organization |
Organization Name | HERITAGE TREATMENT CENTER |
Practice Address | 4200 Edmondson Ave Ste 102 Baltimore MD 21229-1600 |
Practice Telephone | 4432240655 |
Mailing Address | 4200 Edmondson Ave Ste 102 Baltimore MD 21229-1600 |
Mailing Telephone | 4432240655 |
Certification Date | 2020-12-17 |
Enumeration Date | 2020-12-17 |
Last Update Date | 2020-12-17 |
Authorized Official Telephone | 4432240655 |
Authorized Official Credential | LMSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|---|
Y | 207RA0401X | Internal Medicine Specialization: Addiction Medicine | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians |
Street Address | 4200 EDMONDSON AVE STE 102 |
City | BALTIMORE |
State | MD |
Zip Code | 21229-1600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922628783 | Rehabilitation Center for Humanity LLC | Case Management | 4200 Edmondson Ave Ste 103, Baltimore, MD 21229-1600 | 2020-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265068373 | Bodyworks Medical | Clinic/Center · Multi-Specialty | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
1750932430 | Amanda Felix | Nurse Practitioner · Psychiatric/Mental Health | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
1497317853 | Wakeelat A Adeoye | Nurse Practitioner · Psychiatric/Mental Health | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
1477051779 | Shahin Vohara | Dentist · General Practice | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
1386179299 | Sharon Mccollough | Counselor · Mental Health | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
1184175697 | Yekeen Odewale | Registered Nurse · Psychiatric/Mental Health, Adult | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
1497091573 | Anita Phillips | Social Worker · Clinical | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
1104179704 | Shaunte Monet Hairston | Technician, Pathology · Phlebotomy | 1130 Cooks Ln, Baltimore, MD 21229 | 2012-10-19 |
Find all providers in zip 21229 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326525973 | Behavioral Health Leadership Institute, Inc | 401 Edgar Street (van), Baltimore, MD 21202 | 2018-07-26 | |
1760913297 | Rek Advanced Therapeutic Solutions | 6419 York Rd # A, Ste 100, Baltimore, MD 21212-2144 | 2017-03-26 | |
1770575326 | Howard Byron Cohen | 6717 Park Heights Ave, Baltimore, MD 21215-2443 | 2005-08-19 | |
1376801654 | Aditi Ringwala | 22 S Greene St, Baltimore, MD 21201-1544 | 2012-04-24 | |
1174660930 | Donald Robert Jasinski Sr. | 5200 Eastern Ave, Mfl Bldg West Tower 2nd Floor, Baltimore, MD 21224-2734 | 2007-01-31 | |
1962555292 | Annie -- Umbricht | 5510 Nathan Shock Dr, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224-6823 | 2007-01-19 | |
1871566125 | Michael Hayes | 827 Linden Ave, Baltimore, MD 21201-4606 | 2006-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619514049 | Dundalk Medical Group | 207 Wise Avenue, Dundalk, MD 21222-4911 | 2019-12-04 | |
1326525973 | Behavioral Health Leadership Institute, Inc | 401 Edgar Street (van), Baltimore, MD 21202 | 2018-07-26 | |
1760913297 | Rek Advanced Therapeutic Solutions | 6419 York Rd # A, Ste 100, Baltimore, MD 21212-2144 | 2017-03-26 | |
1457604944 | Justin Colin Everson | Building 19h, Room 270, Perry Point Va Medical Center, Perry Point, MD 21902 | 2012-10-21 | |
1033323795 | Harry Calvin Stein | 11140 Rockville Pike Ste 400, Rockville, MD 20852-3104 | 2007-05-10 | |
1093738635 | Nurul Amin Chowdhury | 5721 Grosvenor Ln, Bethesda, MD 20814-1833 | 2006-07-25 | |
1770575326 | Howard Byron Cohen | 6717 Park Heights Ave, Baltimore, MD 21215-2443 | 2005-08-19 | |
1407402506 | Mitchell Ira Burken · Mitchell Ira Burken | 5716 Industry Ln, Frederick, MD 21704-5224 | 2019-08-14 | |
1497161483 | Chase Brexton Health Care · Chase Brexton Health Care | 200 Hospital Drive, Suite 300, Glen Burnie, MD 21061-5877 | 2014-07-10 | |
1376801654 | Aditi Ringwala | 22 S Greene St, Baltimore, MD 21201-1544 | 2012-04-24 | |
Find all providers in the same taxonomy |
City | BALTIMORE |
Zip Code | 21229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578699468 | Heritage Schools, Inc · Heritage Residential Treatment Center | Psychiatric Residential Treatment Facility | 5600 N. Heritage School Drive, Provo, UT 84604 | 2007-02-26 |
1568838183 | Benjamin Christiansen, LLC · Utah Center for Assesment & Treatment | Psychologist | 890 Heritage Park Blvd, Ste 104, Layton, UT 84041-5656 | 2015-08-18 |
1285689539 | Kalispell Regional Medical Center, Inc · Pathways Treatment Center | Clinic/Center | 200 Heritage Way, Kalispell, MT 59901-3146 | 2006-05-24 |
1508405150 | Woodstock Treatment Center LLC | Clinic/Center · Methadone | 270 Heritage Walk, Woodstock, GA 30188-3875 | 2019-12-30 |
1972770816 | Heritage Interfaith Counseling Center | Community/Behavioral Health | 9 Heritage Oak Lane, Suite 1 & 3 Heritage Interfaith Counseling Center, Battle Creek, MI 49015-4281 | 2008-05-09 |
1740769470 | Heritage Behavioral Center, LLC · Heritage Living Center | Assisted Living Facility | 17442 N 28th St, Phoenix, AZ 85032-1903 | 2018-08-13 |
1205881935 | Heritage Eye Center Lc · Heritage Surgery Center Lc | Clinic/Center · Ambulatory Surgical | 1501-B Redbud Blvd, Mckinney, TX 75069 | 2006-05-23 |
1851353361 | Crystal Lake Family Treatment Center Ltd | Family Medicine | 185 Heritage Drive, Suite 3, Crystal Lake, IL 60014 | 2006-04-03 |
1942613260 | Rumley Treatment, Pllc Dba: Aurora Center for Treatment · Rumley & Griffin Treatment, Pllc Dba: Aurora Center for Treatment | Community/Behavioral Health | 1591 Chambers, Suite E, Aurora, CO 80011-5920 | 2014-06-04 |
1962904409 | Blessings Treatment and Recovery Center LLC · Rockland Treatment Center | Substance Abuse Rehabilitation Facility | 5319 Grand Blvd, New Port Richey, FL 34652 | 2018-03-01 |
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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.