NPIMap

Organization Active NPI

Center for Progressive Learning Inc

  • Psychiatry Physician
  • Cockeysville, MD
National Provider Identifier
1043658768
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CENTER FOR PROGRESSIVE LEARNING INC
Practice address
10400 Ridgland Rd
Suite 1
Cockeysville, MD 21030-2715
Phone
(410) 628-6120
Fax
(410) 628-0953
NPI assigned
Jun 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Ms. Cindy Henderson
Title
Coo
Phone
(410) 581-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X

Addresses

Primary practice location

10400 Ridgland Rd
Suite 1
Cockeysville, MD 21030-2715

Mailing address

500 Redland CT
Suite 204
Owings Mills, MD 21117-3264
Phone (410) 581-7800

Other identifiers 1

IdentifierTypeStateIssuer
421932501MedicaidMD

Other names 1

  • First Step Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Progressive Learning Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1043658768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 REDLAND CT",
            "address_2": "SUITE 204",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173264",
            "telephone_number": "410-581-7800",
            "fax_number": "410-581-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 RIDGLAND RD",
            "address_2": "SUITE 1",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302715",
            "telephone_number": "410-628-6120",
            "fax_number": "410-628-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PROGRESSIVE LEARNING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "410-581-7800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421932501",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Step",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.