VILLA MARIA AT LIGHT STREET
NPI 1750547568
Clinic/Center - Mental Health (Including Community Mental Health Center) in Baltimore, MD
NPI Status: Active since July 31, 2008
Contact Information
1118 LIGHT ST STE 200
BALTIMORE, MD
ZIP 21230
Phone: (667) 600-2880
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About VILLA MARIA AT LIGHT STREET
This page provides the complete NPI Profile along with additional information for Villa Maria At Light Street, 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 1750547568 assigned on July 2008. 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 Villa Maria At Light Street. The authorized official of this NPI record is Gloria Reeves (A/r And Billing Manager)
- NPI
- 1750547568
- Provider Legal Name
- ASSOCIATED CATHOLIC CHARITIES
- Other Organization Name
- VILLA MARIA AT LIGHT STREET
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1118 LIGHT ST STE 200 BALTIMORE, MD 21230
- Location Phone
- (667) 600-2880
- 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
- 07-31-2008
- Last Update Date
- 01-02-2020
- Code Navigator
Location Map
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.
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 |
|---|---|---|---|
| 110171417 | MEDICAID (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. | |||||||||
| 1 | 7 | 5 | 0 | 5 | 4 | 7 | 5 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 10 | 4 | 14 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 0 + 4 + 1 + 4 + 5 + 1 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1750547568 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043774292 | MRS. JAVON BLUE LCPC Individual | Counselor (Professional) | 1118 LIGHT ST STE 200 BALTIMORE, MD 21230 (667) 600-2872 |
| 1073077210 | GINNA THERESE WAGNER LCSW-C Individual | Social Worker (Clinical) | 1118 LIGHT ST STE 200 BALTIMORE, MD 21230 (667) 600-2870 |
| 1366094237 | ANDREW KNIGHT Individual | Counselor (Professional) | 1118 LIGHT ST STE 200 BALTIMORE, MD 21230 (667) 600-2892 |
| 1285890095 | ASSOCIATED CATHOLIC CHARITIES Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 1118 LIGHT ST STE 200 BALTIMORE, MD 21230 (667) 600-2880 |
| 1952898256 | ASSOCIATED CATHOLIC CHARITIES, INC. Organization | Clinic/Center (Rehabilitation, Substance Use Disorder) | 1118 LIGHT ST STE 200 BALTIMORE, MD 21230 (667) 600-2880 |
| 1366176703 | KEVIN LAMBERT LMSW Individual | Social Worker | 1118 LIGHT ST STE 200 BALTIMORE, MD 21230 (667) 600-2880 |
| 1508590969 | PHILECIA TYRELL Individual | Counselor (Mental Health) | 1118 LIGHT ST STE 200 BALTIMORE, MD 21230 (443) 832-4242 |
| 1689308975 | TRACEY WHITE Individual | Social Worker | 1118 LIGHT ST STE 200 BALTIMORE, MD 21230 (667) 600-2879 |
| 1750015749 | JENNIFER KOLZE Individual | Social Worker | 1118 LIGHT ST STE 200 BALTIMORE, MD 21230 (667) 600-2880 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750547568, enumerated in the NPI registry as an "organization" on July 31, 2008
The provider is located at 1118 Light St Ste 200 Baltimore, Md 21230 and the phone number is (667) 600-2880
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 July 31, 2008. 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].
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