Main Street Mobile Treatment Associates
Community/Behavioral Health in Reisterstown, MD. Organization (NPI-2).
Details
- NPI
- 1194874867
- Entity type
- Organization (NPI-2)
- Legal business name
- Main Street Mobile Treatment Associates
- Organization subpart
- No
- Enumeration date
- Jan 10, 2007
- Certification date
- Jan 3, 2024
- Last updated
- Jan 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | MD | Yes |
| 1041S0200X | Social Worker, School | – | – |
Other names
- Main Street Community Mental Health Clinic (Doing Business As)
- Main Street Community Mental Health Center (Doing Business As)
Practice location
37 Main StReisterstown, MD 21136-1236
Phone 410-526-7882 · Fax 410-526-9855
Mailing address
37 Main StReisterstown, MD 21136-1236
Phone 410-526-7882 · Fax 410-526-9855
Authorized official
Pamala Sobol Ryan
Executive Director
4105267882
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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