NPIMap

Organization Active NPI

Caroline County Health Department, DHMH, MD

Doing business as Caroline Counseling Center

  • Public Health or Welfare Agency
  • Denton, MD
National Provider Identifier
1104802578
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
9812 Issued in MD
Legal business name
CAROLINE COUNTY HEALTH DEPARTMENT, DHMH, MD
Doing business as
Caroline Counseling Center
Practice address
104 Franklin St
Denton, MD 21629-1208
Phone
(410) 479-1882
Fax
(410) 479-4918
NPI assigned
Dec 19, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Betty Mumford Malkus, PH.D.
Title
Psychologist/Program Administrator
Phone
(410) 479-1882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 9812 MD Primary

Addresses

Primary practice location

104 Franklin St
Denton, MD 21629-1208

Mailing address

104 Franklin St
P.O.Box 10
Denton, MD 21629-1208
Phone (410) 479-1882

Other identifiers 1

IdentifierTypeStateIssuer
9812OtherMDOUTPATIENT ADDICTION

Other names 1

  • Caroline Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caroline Co Health Dept7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

104 Franklin St
Denton, MD 21629
Phone (410) 479-1882

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104802578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FRANKLIN ST",
            "address_2": "P.O.BOX 10",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291208",
            "telephone_number": "410-479-1882",
            "fax_number": "410-479-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FRANKLIN ST",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291208",
            "telephone_number": "410-479-1882",
            "fax_number": "410-479-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE COUNTY HEALTH DEPARTMENT, DHMH, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALKUS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "MUMFORD",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "410-479-1882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MD",
            "license": "9812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT ADDICTION",
            "identifier": "9812",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caroline Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.