Active NPI
New Providence Healthcare Associates Inc.
- Community/Behavioral Health Agency
- Camp Springs, MD
National Provider Identifier
1023511433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MH-2432
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Camp Springs, MD
- NPI 1841787256
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
- Mindfulness Community Association, Inc (Mindfulness Community Acupuncture)
- Jasmine Carline Mitchell, OD
- Jerrilyn Montgomery
- New Perspectives Psychotherapy
- New Perspectives Psychotherapy & Consulting
- New Providence Healthcare Associates Inc.
- Sequia Newsome
- Surzine Nguiah
- Phu N Nguyen, MAC
- Pamela Ann Odle, CRNP
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.