COLLECTIVE TRANSFORMATION HEALTH SERVICES – NPI #1386163020
Clinic/Center

COLLECTIVE TRANSFORMATION HEALTH SERVICES is an AHC clinic located in EDGEWATER, MD. NPPES has assigned the NPI number 1386163020 to COLLECTIVE TRANSFORMATION HEALTH SERVICES on September 13, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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) Keep in mind, 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 4 years ago on Jul 21, 2022. 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 COLLECTIVE TRANSFORMATION HEALTH SERVICES below.

NPI Profile for
COLLECTIVE TRANSFORMATION HEALTH SERVICES

NPI Number
1386163020
Enumeration Date

(more than 8 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
COLLECTIVE TRANSFORMATION HEALTH SERVICES
Primary location
1642 SHADY SIDE DR.
EDGEWATER, MD 21037
Phone: (410) 401-3621 Fax:
Mailing address
1642 SHADY SIDE DR
EDGEWATER, MD 21037-1934
Phone: (410) 956-6000 Fax:
Organization Subpart
No
Authorized Official
SOPHIA ACQUAH
PROGRAM DIRECTOR
Phone: (410) 956-6000
Updated
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)
261QR0400X
- Clinic/Center / Rehabilitation
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health
251S00000X
- Community/Behavioral Health
251K00000X
- Public Health or Welfare
251B00000X
- Case Management
235Z00000X
- Speech-Language Pathologist
225100000X
- Physical Therapist
224Z00000X
- Occupational Therapy Assistant
1041C0700X
- Social Worker / Clinical
101YS0200X
- Counselor / School
101YP2500X
- Counselor / Professional

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.