Young Men's Christian Association of Cumberland, Maryland, Incorporate

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

YOUNG MEN'S CHRISTIAN ASSOCIATION OF CUMBERLAND, MARYLAND, INCORPORATE

Practice address

601 Kelly Road
Cumberland, MD 21502

Phone

(301) 777-9622

Fax

(301) 777-3467

NPI assigned

Jul 12, 2016

Organization subpart

No

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

Authorized official

Name

Don Enterline

Title

Chief Executive Officer

Phone

(301) 777-9622

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1063864254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 KELLY ROAD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "301-777-9622",
            "fax_number": "301-777-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 KELLY ROAD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "301-777-9622",
            "fax_number": "301-777-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF CUMBERLAND, MARYLAND, INCORPORATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "ENTERLINE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "301-777-9622"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wonsock Shin MD, LLC
• Brett W Workman, PA-C
• Terri Jo Yarbrough
• Matthew J Yates, PSYD
• Young C. Bae, M.D.
• Michael Younger
• Jennifer Younker, LCSW-C
• Soriayah Marie Zaghab-Mathews, MD
• Jessica E Zais, LCSW-C
• Qamar Ul Zaman, MD

• Health Educator in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Health Educator in Maryland

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