NPIMap

Organization Active NPI

Compassionate Specialty Clinic, LLC

  • Methadone Clinic
  • Greenbelt, MD
National Provider Identifier
1073117735
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
COMPASSIONATE SPECIALTY CLINIC, LLC
Practice address
7831 Belle Point Dr
Greenbelt, MD 20770-3338
Phone
(240) 394-7786
NPI assigned
Nov 24, 2020
Last updated
Nov 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Ivan Ngang Zama, MDNPI 1912177288
Title
Owner
Phone
(216) 502-7134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU Primary

Addresses

Primary practice location

7831 Belle Point Dr
Greenbelt, MD 20770-3338

Mailing address

10319 Westlake Dr Ste 193
Bethesda, MD 20817-6403

National Provider Directory

National Provider Directory
Tax ID family
Compassionate Spec CLNC LLC6 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.

Locations

7831 Belle Point Dr
Greenbelt, MD 20770
Phone (240) 394-7886

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1073117735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 WESTLAKE DR STE 193",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 BELLE POINT DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703338",
            "telephone_number": "240-394-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE SPECIALTY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "ZAMA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "NGANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-502-7134",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.