ADDICTION TREATMENT OF MARYLAND LLC
NPI 1609335702
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since March 18, 2019CLIA 21D2177159 · Waiver
9 CENTER PL, 1ST FLOOR, BALTIMORE, MD 21222(443) 904-8955 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 31, 2024, May 10, 2024, Jun 11, 2019 and 1 more (4 updates tracked since 2019).

About Addiction Treatment Of Maryland Llc NPPES

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

ADDICTION TREATMENT OF MARYLAND LLC (NPI 1609335702) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through January 6, 2028 and lists Christina Dimemmo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609335702
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameADDICTION TREATMENT OF MARYLAND LLC
Location Address9 CENTER PL, 1ST FLOORBaltimore, MD 21222-4362
Mailing Address9 Center Place, 1st FloorBaltimore, MD 21222-4362 · (443) 376-6800
Organization SubpartNo
Authorized OfficialChristina DimemmoCeo · (443) 725-4062
Enumeration DateMarch 18, 2019
Last NPPES UpdateOctober 30, 20254 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
✔ NPI 1609335702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
9 CENTER PL, Baltimore, MD 21222

Other Names 1

Other NameAddiction Treatment Of Maryland

Other Identifiers 2

Medicaid05MD
Other01Private Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Addiction Treatment Of Maryland Llc 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 Addiction Treatment Of Maryland LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1194281451
2832 HUNTINGDON AVE
Baltimore, MD 21211
(240) 423-9364
✔ PECOS✔ Accepts Medicare6.9 mi
Nurse Practitioner
NPI 1558606343
8840 BELAIR RD
Nottingham, MD 21236
(443) 883-1826
✔ PECOS9.9 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2177159

Addiction Treatment Of Maryland · Baltimore, MD
Active · expires Jan 6, 2028
CLIA Number21D2177159
Laboratory TypeOutpatient Sub Abuse Prog
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorChristie Simon-Waterman
Laboratory Phone(443) 376-6800
Laboratory LocationAddiction Treatment Of Maryland9 Center Place, First Floor, Baltimore, MD 21222
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Addiction Treatment Of Maryland LLC's NPI number?

The NPI number for Addiction Treatment Of Maryland LLC is 1609335702. It was assigned to this organization in the NPPES registry on March 18, 2019. The provider is also known as Addiction Treatment of Maryland.

Where is Addiction Treatment Of Maryland LLC located?

Addiction Treatment Of Maryland LLC is located at 9 Center Pl 1st Floor, Baltimore, MD 21222. The listed phone number is (443) 904-8955.

What is Addiction Treatment Of Maryland LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Is Addiction Treatment Of Maryland LLC enrolled in Medicare?

Yes. Addiction Treatment Of Maryland LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Addiction Treatment Of Maryland LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Addiction Treatment Of Maryland LLC. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Addiction Treatment Of Maryland LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2177159) is associated with this NPI, valid through January 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Addiction Treatment Of Maryland LLC was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.