THE HOUSE OF JUDE BEHAVIORAL HEALTH SERVICES – NPI #1376701193
Clinic/Center

THE HOUSE OF JUDE BEHAVIORAL HEALTH SERVICES is an AHC clinic located in BALTIMORE, MD. NPPES has assigned the NPI number 1376701193 to THE HOUSE OF JUDE BEHAVIORAL HEALTH SERVICES on May 29, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE HOUSE OF JUDE BEHAVIORAL HEALTH SERVICES” is a dba name, the actual legal business name for this organization is THE HOUSE OF JUDE CHILDREN SERVICES. 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)

The NPI profile was previously updated about 2 years ago on May 03, 2024. 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 THE HOUSE OF JUDE BEHAVIORAL HEALTH SERVICES below.

NPI Profile for
THE HOUSE OF JUDE CHILDREN SERVICES

NPI Number
1376701193
Enumeration Date

(more than 18 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
THE HOUSE OF JUDE CHILDREN SERVICES
Doing Business As (dba): THE HOUSE OF JUDE BEHAVIORAL HEALTH SERVICES
Primary location
420 E. 25TH STREET
BALTIMORE, MD 21218
Phone: (410) 705-1331 Fax: (410) 938-2237
Mailing address
P.O. BOX 5004
MIDDLE RIVER, MD 21220
Phone: (410) 705-1331 Fax: (410) 938-2237
Organization Subpart
Yes - THE HOUSE OF JUDE BEHAVIORAL HEALTH SERVICES is subpart of another organization.
Authorized Official
EDITH AUGUSTSON
OWNER
Phone: (410) 705-1331
Updated
Certification Date
Apr 30, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for THE HOUSE OF JUDE BEHAVIORAL HEALTH SERVICES

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
medicaidMD411699201
medicaidMD414755300
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 LC-2284
101YP2500X
- Counselor / Professional
MD NCC-93405
101YM0800X
- Counselor / Mental Health

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.