PORT RECOVERY IOP INC.
NPI 1578026464
Counselor - Mental Health in Nottingham, MD

Q: What is Port Recovery Iop Inc.'s NPI number?

The NPI number for Port Recovery Iop Inc. is 1578026464. It was assigned to this organization in the NPPES registry on April 9, 2019.

Q: What is Port Recovery Iop Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since April 09, 2019

8615 RIDGELYS CHOICE DR STE 205, NOTTINGHAM, MD 21236(443) 869-4909(443) 869-4928 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Port Recovery Iop Inc. NPPES

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

PORT RECOVERY IOP INC. (NPI 1578026464) is a healthcare organization registered as a mental health in Nottingham, Maryland and active in the NPI registry since April 2019. The organization lists Joanne Granruth, Owner, as its authorized official.

NPPES Registry Identity

NPI1578026464

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NamePORT RECOVERY IOP INC.

Location Address8615 RIDGELYS CHOICE DR STE 205Nottingham, MD 21236-3028

Mailing Address8615 Ridgelys Choice Dr Ste 205Nottingham, MD 21236-3028 · (443) 869-4909 · Fax (443) 869-4928

Phone(443) 869-4909

Fax(443) 869-4928

Organization SubpartNo

Authorized OfficialJoanne GranruthOwner · (410) 534-8735

Enumeration DateApril 9, 2019

✔ NPI 1578026464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

8615 RIDGELYS CHOICE DR STE 205, Nottingham, MD 21236

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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)

Port Recovery Iop Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Port Recovery Iop Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Elaine Cook, CRNP

Nurse Practitioner

NPI 1174504047

8615 RIDGELYS CHOICE DR
Nottingham, MD 21236

(410) 766-8009

✔ PECOSSame address

Carol Garey, LCSW-C

Clinical Social Worker

NPI 1366876690

1040 PARK AVE STE 200
Baltimore, MD 21201

(443) 738-0300

✔ PECOS✔ Accepts Medicare9.1 mi

Terri Nicholson

Nurse Practitioner

NPI 1144659400

405 N PACA ST
Baltimore, MD 21201

(410) 779-9609

✔ PECOS✔ Accepts Medicare9.6 mi

Randal Steele, D.O.

Family Practice

NPI 1811969835

1115 MAIN ST
Darlington, MD 21034

(410) 457-4771

✔ PECOS✔ Accepts Medicare23 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 Port Recovery Iop Inc.'s NPI number?

The NPI number for Port Recovery Iop Inc. is 1578026464. It was assigned to this organization in the NPPES registry on April 9, 2019.

Where is Port Recovery Iop Inc. located?

Port Recovery Iop Inc. is located at 8615 Ridgelys Choice Dr Ste 205, Nottingham, MD 21236. The listed phone number is (443) 869-4909.

What is Port Recovery Iop Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Port Recovery Iop Inc. enrolled in Medicare?

Yes. Port Recovery Iop Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Port Recovery Iop Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Port Recovery Iop Inc., in Clinical Social Worker, Family Practice 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 3 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 Port Recovery Iop Inc. was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.