Organization · Type 2 NPI

1st Medical Pain Management Specialists

Adult Mental Health Clinic/Center · Catonsville, MD

NPI number 1346915758 Active

Practice location

405 Frederick Rd Ste 201
Catonsville, MD 21228-4645

Call (410) 788-4411 Map

Fax (410) 788-4545

Mailing address

405 Frederick Rd Ste 11
Catonsville, MD 21228-4607

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Mental Health Counselor	101YM0800X	None listed
Clinical Social Worker	1041C0700X	None listed
Adult Mental Health Clinic/Center Primary	261QM0850X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed
Rehabilitation Clinic/Center	261QR0400X	None listed
Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	None listed
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Other adult mental health clinic/center providers in Catonsville

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NPI record

NPI: 1346915758
Entity type: Organization (Type 2)
Issued: Aug 9, 2021
Last updated: Jan 23, 2022
Status: Active
Subpart: Yes of 1st Medical of Annapolis, Inc.

Other names

1st Medical Painrehab Center · doing business as

Authorized official

Rosemary Ingado, PHYSICIAN ASSISTANT
Clinical Administrator
(410) 956-6800

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346915758

1st Medical Pain Management Specialists's National Provider Identifier is 1346915758, issued on Aug 9, 2021. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Catonsville, MD. The record was last updated on Jan 23, 2022.