Organization Active NPI

New Providence Healthcare Associates Inc.

  • Community/Behavioral Health Agency
  • Camp Springs, MD
National Provider Identifier
1023511433
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH-2432 Issued in MD
Legal business name
NEW PROVIDENCE HEALTHCARE ASSOCIATES INC.
Practice address
5627 Allentown Road
100
Camp Springs, MD 20746-4520
Phone
(301) 241-0255
Fax
(240) 455-0247
NPI assigned
Mar 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Xavius Da Silva - Thompson
Title
Cfo
Phone
(301) 241-0255

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH-2432 MD Primary
Community/Behavioral Health Agency 251S00000X MH-2431 MD
Adult Mental Health Clinic/Center 261QM0850X MH-2432 MD
Adolescent and Children Mental Health Clinic/Center 261QM0855X MH-2432 MD
Multi-Specialty Clinic/Center 261QM1300X MH-2432 MD

Addresses

Primary practice location

5627 Allentown Road
100
Camp Springs, MD 20746-4520

Mailing address

145 Fleet St # 136
Oxon Hill, MD 20745-1548
Phone (301) 241-0255

National Provider Directory

National Provider Directory
Tax ID family
New Providence Healthcare Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1023511433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 FLEET ST # 136",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451548",
            "telephone_number": "301-241-0255",
            "fax_number": "240-455-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 ALLENTOWN ROAD",
            "address_2": "100",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464520",
            "telephone_number": "301-241-0255",
            "fax_number": "240-455-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PROVIDENCE HEALTHCARE ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "DA SILVA - THOMPSON",
        "authorized_official_first_name": "XAVIUS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-241-0255"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "MH-2432",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "MH-2431",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "MH-2432",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "MH-2432",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MD",
            "license": "MH-2432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Springs, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.