NPIMap

Organization Active NPI

Humanim Neurorehabilitation Services, LLC

  • Rehabilitation Psychologist
  • Columbia, MD
National Provider Identifier
1104986611
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
Legal business name
HUMANIM NEUROREHABILITATION SERVICES, LLC
Practice address
6355 Woodside CT
Columbia, MD 21046-1071
Phone
(410) 381-7171
Fax
(410) 381-5137
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Gale Britton
Title
Dir of Billing
Phone
(410) 381-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TR0400X Primary

Addresses

Primary practice location

6355 Woodside CT
Columbia, MD 21046-1071

Mailing address

6355 Woodside CT
Columbia, MD 21046-1071
Phone (410) 381-7171

Other names 1

  • Neurorehabilitation Services Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1104986611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 WOODSIDE CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461071",
            "telephone_number": "410-381-7171",
            "fax_number": "410-381-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WOODSIDE CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461071",
            "telephone_number": "410-381-7171",
            "fax_number": "410-381-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANIM NEUROREHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "GALE",
        "authorized_official_title_or_position": "DIR OF BILLING",
        "authorized_official_telephone_number": "410-381-7171"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurorehabilitation Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.