CCG BALTIMORE
NPI 1760873632
Community/Behavioral Health in Baltimore, MD

NPI Status: Active since February 12, 2015

Contact Information

428 E 25TH ST
BALTIMORE, MD
ZIP 21218
Phone: (410) 617-0142
Fax: (443) 873-6975

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 21D2165707
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-02-2027

About CCG BALTIMORE

This page provides the complete NPI Profile along with additional information for Ccg Baltimore, a provider established in Baltimore, Maryland operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1760873632 assigned on February 2015. The practitioner's primary taxonomy code is 251S00000X with license number 251B00000X (MD). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is Ccg Baltimore. The authorized official of this NPI record is Ms. Barbara A Wahl Rn, Ma (Business Operations Director)

NPI
1760873632
Provider Legal Name
HARWOOD BEHAVIORAL HEALTH PARTNERS, LLC
Other Organization Name
CCG BALTIMORE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
428 E 25TH ST BALTIMORE, MD 21218
Location Phone
(410) 617-0142
Location Fax
(443) 873-6975
Mailing Address
428 E 25TH ST BALTIMORE, MD 21218
Mailing Phone
(410) 617-0142
Mailing Fax
(443) 873-6975
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-12-2015
Last Update Date
09-25-2015
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
251B00000X
License State
MD
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

MS. BARBARA A WAHL RN, MA

Authorized Official Title
BUSINESS OPERATIONS DIRECTOR
Authorized Official Phone
(667) 239-3205

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
534204000MEDICAID (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
21D2165707
Facility Type
Community Clinic
Certificate Effective Date
May 03, 2025
Certificate Expiration Date
May 02, 2027
Laboratory Director
DR. ERIKA N. KANE MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ccg Baltimore 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.

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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 1760873632, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
2
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 6 → 12 → 3 8 → 16 → 7 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 1 + 6 + 7 + 6 + 6 + 6 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1760873632.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Social Worker
428 E 25TH ST
BALTIMORE, MD 21218
Social Worker
428 E 25TH ST
BALTIMORE, MD 21218
Clinic/Center (Primary Care)
428 E 25TH ST
BALTIMORE, MD 21218
Nurse Practitioner (Psychiatric/Mental Health)
428 E 25TH ST
BALTIMORE, MD 21218
Clinic/Center (Mental Health (Including Community Mental Health Center))
428 E 25TH ST
BALTIMORE, MD 21218
Clinical Medical Laboratory
428 E 25TH ST
BALTIMORE, MD 21218
Registered Nurse
428 E 25TH ST
BALTIMORE, MD 21218
Registered Nurse
428 E 25TH ST
BALTIMORE, MD 21218
Registered Nurse
428 E 25TH ST
BALTIMORE, MD 21218
Social Worker (Clinical)
428 E 25TH ST
BALTIMORE, MD 21218
Nurse Practitioner (Psychiatric/Mental Health)
428 E 25TH ST
BALTIMORE, MD 21218
Clinic/Center (Rehabilitation, Substance Use Disorder)
428 E 25TH ST
BALTIMORE, MD 21218
Clinic/Center (Mental Health (Including Community Mental Health Center))
428 E 25TH ST
BALTIMORE, MD 21218
Clinic/Center (Mental Health (Including Community Mental Health Center))
428 E 25TH ST
BALTIMORE, MD 21218
Clinic/Center (Community Health)
428 E 25TH ST
BALTIMORE, MD 21218
Clinic/Center (Adult Mental Health)
428 E 25TH ST
BALTIMORE, MD 21218
Counselor (Mental Health)
428 E 25TH ST
BALTIMORE, MD 21218
Counselor (Mental Health)
428 E 25TH ST
BALTIMORE, MD 21218

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760873632, enumerated as an "organization" on February 12, 2015.

The provider is located at 428 E 25TH ST BALTIMORE, MD 21218 and the phone number is (410) 617-0142.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.