Organization
JOHNS HOPKINS BAYVIEW MEDICAL CENTER
Active
Parent organization
JOHNS HOPKINS BAYVIEW MEDICAL CENTER
Other names
JHBMC Southeast Baltimore Mental Health Clinic Child
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNS HOPKINS BAYVIEW MEDICAL CENTER
Authorized official
JENNIFER NICKOLES (PRESIDENT)
(410) 955-6552
Entity
Organization
Contact information
Practice address
5500 E LOMBARD ST, BALTIMORE, MD 21224-1731
(410) 550-0070
(410) 550-0112
Mailing address
PO BOX 632053, BALTIMORE, MD 21263-2053
(443) 997-0001
(443) 997-0011
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
30-005
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46611500
—
MD
Enumeration date
06/29/2007
Last updated
07/21/2025
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