NPIMap

Organization Active NPI

VA Hospital

  • Psychiatric Hospital
  • Perry Point, MD
National Provider Identifier
1073840583
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
15390 Issued in MD
Legal business name
VA HOSPITAL
Practice address
1H Circle Drive
Perry Point, MD 21902-0468
Phone
(410) 642-2411
Fax
(410) 642-1852
NPI assigned
Nov 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Mr. John O'Brien O'Brien, MSW, LCSW-C
Title
Social Worker
Phone
(410) 605-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 15390 MD
Psychiatric Hospital 283Q00000X 15390 MD Primary

Addresses

Primary practice location

1H Circle Drive
Perry Point, MD 21902-0468

Mailing address

PO Box 468
Perry Point, MD 21902-0468
Phone (410) 642-2411

National Provider Directory

National Provider Directory

Locations

1H Circle Dr
Perry Point, MD 21902

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1073840583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "219020468",
            "telephone_number": "410-642-2411",
            "fax_number": "410-642-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1H CIRCLE DRIVE",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "219020468",
            "telephone_number": "410-642-2411",
            "fax_number": "410-642-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O'BRIEN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "410-605-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MD",
            "license": "15390",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MD",
            "license": "15390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry Point, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.