OrganizationActive
Mentor-Maryland
NPI 1104352368 · Community/Behavioral Health Agency · Frederick, MD
Mentor-Maryland is a Community/Behavioral Health Agency organization in Frederick, MD (NPI 1104352368).
Provider details
- NPI number
- 1104352368
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Carol Simmons, Director, Omhc(410) 455-4600
- License
- MH-2279 (MD)
Specialties & taxonomies
Agencies
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5970 Frederick Crossing Lane
#202
Frederick, MD 21704
Phone: (301) 524-0977
Street-level locationGet directions
Mailing address
5720 Executive Drive
Catonsville, MD 21228
Registry dates
- Enumerated
- 2017-05-10
- Last updated
- 2017-05-10
Frequently asked questions
- What is Mentor-Maryland's NPI number?
- Mentor-Maryland's National Provider Identifier (NPI) is 1104352368, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mentor-Maryland?
- Mentor-Maryland is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Mentor-Maryland located?
- Mentor-Maryland's practice location on file with NPPES is 5970 Frederick Crossing Lane, Frederick, MD 21704.
- What is Mentor-Maryland's phone number?
- The practice phone number listed in the NPPES registry for Mentor-Maryland is (301) 524-0977.
- Who is the authorized official for Mentor-Maryland?
- The authorized official listed on Mentor-Maryland's NPPES record is Carol Simmons, Director, Omhc. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mentor-Maryland's NPI active?
- Yes — Mentor-Maryland's NPI (1104352368) is active in the NPPES registry as of the last update on 2017-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.