COMMUNITY WELLNESS OUTPATIENT MENTAL HEALTH CENTER LLC
NPI 1114348463
Clinic/Center - Mental Health (Including Community Mental Health Center) in Baltimore, MD

NPI Status: Active since January 03, 2014

Contact Information

3310 EASTERN AVE FL 1
BALTIMORE, MD
ZIP 21224
Phone: (667) 309-9920
Fax: (667) 309-9920

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • CLIA Number: 21D2319567
  • CLIA Cert. Type: Other - MOLBILE DOT CLINIC/ HEALT
  • CLIA Exp. Date: 03-03-2027

About COMMUNITY WELLNESS OUTPATIENT MENTAL HEALTH CENTER LLC

This page provides the complete NPI Profile along with additional information for Community Wellness Outpatient Mental Health Center Llc, 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 1114348463 assigned on January 2014. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated March 2026. The provider's . The authorized official of this NPI record is Mr. Vernon Holmes Jr. Mba (Ceo)

NPI
1114348463
Provider Legal Name
COMMUNITY WELLNESS OUTPATIENT MENTAL HEALTH CENTER LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
3310 EASTERN AVE FL 1 BALTIMORE, MD 21224
Location Phone
(667) 309-9920
Location Fax
(667) 309-9920
Mailing Address
3310 EASTERN AVE BALTIMORE, MD 21224
Mailing Phone
(667) 309-9920
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-03-2014
Last Update Date
03-17-2026
Code Navigator

Location Map

Secondary Locations

  • 3415 Holmes Ave Apt 1
    Baltimore, MD 21217
    (443) 708-5056
  • 116 W Main St Ste 401
    Salisbury, MD 21801
    (667) 309-9920
  • 5517 Ritchie Hwy Ste A
    Brooklyn Park, MD 21225
    (667) 309-9920
  • 820 Stone Ave
    Waldorf, MD 20602
    (667) 309-9920
  • 819 N Fremont Ave Fl 2
    Baltimore, MD 21217
    (443) 708-5056
  • 3007 Rayner Ave Ofc
    Baltimore, MD 21216
    (443) 708-5056
  • 1450 Montpelier St Ofc
    Baltimore, MD 21218
    (443) 387-3819
  • 1638 Ruxton Ave Ofc
    Baltimore, MD 21216
    (443) 708-0602
  • 1820 Spence St Ofc
    Baltimore, MD 21230
    (443) 708-5056
  • 2670 Kennedy Ave Ofc
    Baltimore, MD 21218
    (410) 624-7602
  • 30936 Manchester Ln
    Laurel, DE 19956
    (443) 783-4897
  • 8390 Indian Head Hwy Apt C2
    Fort Washington, MD 20744
    (301) 485-8446
  • 8360 Indian Head Hwy Apt A1
    Fort Washington, MD 20744
    (301) 485-8446
  • 809 N Rose St Ofc
    Baltimore, MD 21205
    (667) 930-3924
  • 25709 Porter Mill Rd
    Hebron, MD 21830
    (443) 783-4897
  • 5515 Park St
    Chevy Chase, MD 20815
    (301) 801-0787
  • 4301 Military Rd NW
    Washington, DC 20015
    (301) 801-0787
  • 908 Valley St Apt 13
    Baltimore, MD 21202
    (667) 210-6153
  • 8402 Indian Head Hwy Apt C1
    Fort Washington, MD 20744
    (240) 766-4225
  • 912 Mentor Ave Ofc
    Capitol Heights, MD 20743
    (202) 716-8287
  • 925 N Broadway Ofc
    Baltimore, MD 21205
    (443) 708-5056
  • 8428 Indian Head Hwy Apt B1
    Fort Washington, MD 20744
    (301) 485-8568
  • 1119 E Monument St
    Baltimore, MD 21202
    (443) 873-7792
  • 3021 Garrison Blvd
    Baltimore, MD 21216
    (667) 309-9920
  • 9808 Tribonian Dr Lowr Level
    Fort Washington, MD 20744
    (301) 839-4248
  • 1620 Druid Hill Ave
    Baltimore, MD 21217
    (667) 309-9920
  • 1116 E 20th St
    Baltimore, MD 21218
    (667) 309-9920
  • 1114 E 20th St
    Baltimore, MD 21218
    (667) 309-9920
  • 1723 Gwynns Falls Pkwy
    Baltimore, MD 21217
    (667) 309-9920
  • 2140 Druid Hill Ave
    Baltimore, MD 21217
    (667) 309-9920
  • 1649 Darley Ave
    Baltimore, MD 21213
    (667) 309-9920
  • 112 S Mount St
    Baltimore, MD 21223
    (667) 309-9920

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. VERNON HOLMES JR. MBA

Authorized Official Title
CEO
Authorized Official Phone
(667) 309-9920

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
180702672OTHER (01)MDMARYLAND DEPARTMENT OF HEALTH BEHAVIORAL HEALTH ADMINISTRATION
424340400MEDICAID (05)MD 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2319567
Facility Type
Other - MOLBILE DOT CLINIC/ HEALT
Certificate Effective Date
March 04, 2025
Certificate Expiration Date
March 03, 2027
Laboratory Director
CHANISE ISAAC
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Community Wellness Outpatient Mental Health Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for COMMUNITY WELLNESS OUTPATIENT MENTAL HEALTH CENTER LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114348463, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 3 → 6 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 6 + 4 + 1 + 6 + 4 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1114348463.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114348463, enumerated as an "organization" on January 03, 2014.

The provider is located at 3310 EASTERN AVE FL 1 BALTIMORE, MD 21224 and the phone number is (667) 309-9920.

Clinic/Center with taxonomy code 261QM0801X and 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 verify.