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CITYWIDE HEALTH CORPORATION
NPI 1417595588
Nurse Practitioner - Psychiatric/Mental Health in Pikesville, MD

Active since December 19, 2019
17 WARREN RD STE 20B, PIKESVILLE, MD 21208(410) 484-0036(410) 484-8107 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 1, 2020, Dec 19, 2019 (2 updates tracked since 2019).

About Citywide Health Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITYWIDE HEALTH CORPORATION (NPI 1417595588), doing business as Citywide Behavioral Health - Omhc, is a healthcare organization registered as a psychiatric/mental health in Pikesville, Maryland and active in the NPI registry since December 2019. The organization lists Pamela Penina Johnson, Owner Ceo, as its authorized official.

NPPES Registry Identity

NPI1417595588
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCITYWIDE HEALTH CORPORATION
Location Address17 WARREN RD STE 20BPikesville, MD 21208-5334
Mailing Address17 Warren Rd Ste 20bPikesville, MD 21208-5334 · (410) 484-0036 · Fax (410) 484-8107
Phone(410) 484-0036
Fax(410) 484-8107
Organization SubpartNo
Authorized OfficialPamela Penina JohnsonOwner Ceo · (410) 929-2314
Enumeration DateDecember 19, 2019
Last NPPES UpdateOctober 13, 20252 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1417595588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
17 WARREN RD STE 20B, Pikesville, MD 21208
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Other Names 2

Doing Business AsCitywide Behavioral Health - Omhc
Doing Business AsCitywide Behavioral Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Citywide Health Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Citywide Health Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Pamela Johnson, CRNP-PMH
Nurse Practitioner
NPI 1023252129
17 WARREN RD STE 20B
Baltimore, MD 21208
(410) 484-0036
✔ PECOSSame address
Vivian Archibong, LCSW-C
Clinical Social Worker
NPI 1235340266
2225 N CHARLES ST
Baltimore, MD 21218
(410) 453-9553
✔ PECOS6.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Citywide Health Corporation's NPI number?

The NPI number for Citywide Health Corporation is 1417595588. It was assigned to this organization in the NPPES registry on December 19, 2019. The provider is doing business as Citywide Behavioral Health - Omhc and Citywide Behavioral Health.

Where is Citywide Health Corporation located?

Citywide Health Corporation is located at 17 Warren Rd Ste 20B, Pikesville, MD 21208. The listed phone number is (410) 484-0036.

What is Citywide Health Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Citywide Health Corporation enrolled in Medicare?

Yes. Citywide Health Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Citywide Health Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Citywide Health Corporation, in Clinical Social Worker and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Citywide Health Corporation was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.