FALLSTAFF TBS 1:1
NPI 1295097079
Clinic/Center - Mental Health (Including Community Mental Health Center) in Baltimore, MD

NPI Status: Active since June 08, 2012

Contact Information

6999 REISTERSTOWN RD
SUITE 9
BALTIMORE, MD
ZIP 21215
Phone: (410) 585-0598

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About FALLSTAFF TBS 1:1

This page provides the complete NPI Profile along with additional information for Fallstaff Tbs 1:1, a provider established in Baltimore, Maryland operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1295097079 assigned on June 2012. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Fallstaff Tbs 1:1. The authorized official of this NPI record is Gloria Reeves (Accounts Receivable And Billing Man)

NPI
1295097079
Provider Legal Name
ASSOCIATED CATHOLIC CHARITIES, INC.
Other Organization Name
FALLSTAFF TBS 1:1
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6999 REISTERSTOWN RD SUITE 9 BALTIMORE, MD 21215
Location Phone
(410) 585-0598
Mailing Address
2300 DULANEY VALLEY RD TIMONIUM, MD 21093
Mailing Phone
(667) 600-2249
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2012
Last Update Date
01-03-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GLORIA REEVES

Authorized Official Title
ACCOUNTS RECEIVABLE AND BILLING MAN
Authorized Official Phone
(676) 600-2249

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
421122700MEDICAID (05)MD 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295097079
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221850914014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 0 + 9 + 1 + 4 + 0 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1295097079 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235377300WATTS STAFFING SOLUTIONS
Organization
In Home Supportive Care6999 REISTERSTOWN RD SUITE 3
BALTIMORE, MD 21215
(410) 764-2787
1992965123 AMY C LOWE MD
Individual
Clinic/Center (Adolescent and Children Mental Health)6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(410) 585-0598
1932676905 CYNTHIA ELAINE GROSBERG
Individual
Social Worker (Clinical)6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(667) 600-3210
1356810972 JONATHAN BRANDONISIO LGPC
Individual
Counselor (Mental Health)6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(443) 345-9674
1811466345 JENNIFER GYR FOSTER LCSW-C
Individual
Social Worker (Clinical)6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(667) 660-3203
1689143182 JOHANNA MILLER LCSW-C
Individual
Social Worker (Clinical)6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(667) 600-3209
1801369723 JADE A. SHAPIRO LMSW
Individual
Social Worker (Clinical)6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(667) 600-3210
1356901391MRS. JAMIE CARMELLA SCHMIDT LMSW
Individual
Social Worker6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(667) 600-3210
1649830696 MIRIAM FRIEDBERG
Individual
Social Worker6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(443) 990-1686
1770127524 NAOMI ADAMS
Individual
Social Worker (Clinical)6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(667) 600-3210
1043336316ASSOCIATED CATHOLIC CHARITIES, INC.
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(667) 600-3210
1790044675ASSOCIATED CATHOLIC CHARITIES
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(667) 600-3201
1609126978ASSOCIATED CATHOLIC CHARITIES, INC.
Organization
Case Management6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(410) 585-0598
1427555705ASSOCIATED CATHOLIC CHARITIES, INC.
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(667) 600-3210
1356838700ASSOCIATED CATHOLIC CHARITIES, INC.
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(667) 600-3210
1043291586SHOE STUDIO, LLC
Organization
Durable Medical Equipment & Medical Supplies6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(410) 318-6586
1093489767 MARISA C BARNETT LMSW
Individual
Social Worker6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(667) 600-3210
1366094005 TIFFANY L HEMBRY LCSW-C
Individual
Social Worker6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(667) 600-3210
1497443592 COLLEEN CROWLEY
Individual
Social Worker6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(443) 376-8726
1932891066 OLIVIA ELBERS LMSW
Individual
Social Worker6999 REISTERSTOWN RD
BALTIMORE, MD 21215
(667) 600-3210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295097079, enumerated in the NPI registry as an "organization" on June 08, 2012

The provider is located at 6999 Reisterstown Rd Suite 9 Baltimore, Md 21215 and the phone number is (410) 585-0598

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 08, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.