Your Choice Support Services, Inc.

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

YOUR CHOICE SUPPORT SERVICES, INC.

Practice address

16 Wickman CT
Windsor Mill, MD 21244-1467

Phone

(202) 465-9695

NPI assigned

Nov 20, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Andrea R Quarles

Title

Executive Director

Phone

(202) 465-9695

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Your Choice Support Services, Inc. Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1013486901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WICKMAN CT",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441467",
            "telephone_number": "202-465-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WICKMAN CT",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441467",
            "telephone_number": "202-465-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CHOICE SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "QUARLES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-465-9695",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65478690",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Choice Support Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keyona Shalicia Wright, LMSW
• Christopher Wu, MD
• Yemtop Healthcare Services
• Jessica Julia Young, LCSW-C
• John Lafayette Young, DMIN LCPC LCADC PROF
• Margaret McCaughey Yuce, LCSW-C

• Intellectual & Developmental Disabilities Psychologist in Windsor Mill, MD
• Providers in Windsor Mill, MD by specialty
• Intellectual & Developmental Disabilities Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.