Organization Active NPI

J & a Positive Image LLC

  • Adult Mental Health Clinic/Center
  • Elkridge, MD
National Provider Identifier
1033657374
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MH2225 Issued in MD
Legal business name
J & A POSITIVE IMAGE LLC
Practice address
6755 Business Pkwy
Suite 102
Elkridge, MD 21075-6753
Phone
(443) 370-5372
Fax
(410) 796-1410
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Jane Kihiko
Title
Executive Director
Phone
(443) 370-5372

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MH2225 MD Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X MH2225 MD

Addresses

Primary practice location

6755 Business Pkwy
Suite 102
Elkridge, MD 21075-6753

Mailing address

6755 Business Pkwy
Suite 102
Elkridge, MD 21075-6753
Phone (443) 370-5372

National Provider Directory

National Provider Directory

Locations

6755 Business Pkwy
Ste 102
Elkridge, MD 21075
Phone (443) 370-5372

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1033657374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 BUSINESS PKWY",
            "address_2": "SUITE 102",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756753",
            "telephone_number": "443-370-5372",
            "fax_number": "410-796-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 BUSINESS PKWY",
            "address_2": "SUITE 102",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756753",
            "telephone_number": "443-370-5372",
            "fax_number": "410-796-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & A POSITIVE IMAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "KIHIKO",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-370-5372"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "MH2225",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "MH2225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.