Organization Active NPI

Core Foundations at Kennedy Krieger Institute

  • Developmentally Disabled Services Day Training Agency
  • Silver Spring, MD
National Provider Identifier
1043795966
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CORE FOUNDATIONS AT KENNEDY KRIEGER INSTITUTE
Practice address
13313 Old Columbia Pike
Silver Spring, MD 20904
Phone
(443) 923-7780
NPI assigned
Sep 26, 2018
Last updated
Sep 16, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
KENNEDY KRIEGER INSTITUTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Mr. Mike J Neuman
Title
Vice President Finance
Phone
(443) 923-1810

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

13313 Old Columbia Pike
Silver Spring, MD 20904

Mailing address

P.O. Box 744865
Atlanta, GA 30374

National Provider Directory

National Provider Directory
Tax ID family
Kennedy Krieger Education and Communication12 organizations share this tax ID, including this one
Part of
Kennedy Krieger Institute

Other organizations with this tax ID 11

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

Locations

13313 Old Columbia Pike
Silver Spring, MD 20904
Phone (443) 923-4170

Interoperability endpoints

  • FHIR API: https://epicproxy.et1095.epichosted.com/FHIRProxy/KKI/api/FHIR/R4

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1043795966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 744865",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13313 OLD COLUMBIA PIKE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20904",
            "telephone_number": "443-923-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE FOUNDATIONS AT KENNEDY KRIEGER INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENNEDY KRIEGER INSTITUTE",
        "enumeration_date": "2018-09-26",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "443-923-1810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.