BEHAVIORAL HEALTH CLINIC (BHC) – NPI #1053719575
Clinic/Center

BEHAVIORAL HEALTH CLINIC (BHC) is an AHC clinic located in BALTIMORE, MD. NPPES has assigned the NPI number 1053719575 to BEHAVIORAL HEALTH CLINIC (BHC) on December 16, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEHAVIORAL HEALTH CLINIC (BHC)” is a dba name, the actual legal business name for this organization is JR HEALTHCARE ASSOCIATES, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center) Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 10 years ago on May 25, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEHAVIORAL HEALTH CLINIC (BHC) below.

NPI Profile for
JR HEALTHCARE ASSOCIATES, LLC

NPI Number
1053719575
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JR HEALTHCARE ASSOCIATES, LLC
Doing Business As (dba): BEHAVIORAL HEALTH CLINIC (BHC)
Primary location
2310 N CHARLES ST
BALTIMORE, MD 21218
Phone: (410) 844-4110 Fax: (410) 741-3008
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NAG NELLURI
PRESIDENT
Phone: (443) 995-4113
Updated
Identifiers

Identifiers for BEHAVIORAL HEALTH CLINIC (BHC)

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD200803300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)		 MD 905397
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder		 MD 905397
261QP2300X
- Clinic/Center / Primary Care		 MD 905397
261QM0850X
- Clinic/Center / Adult Mental Health		 MD 905397
261QH0100X
- Clinic/Center / Health Service		 MD 905397
261QC1500X
- Clinic/Center / Community Health		 MD 905397
251S00000X
- Community/Behavioral Health		 MD 905397

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.