Active NPI
Kaiser Permanente
- Exclusive Provider Organization
- Kensington, MD
National Provider Identifier
1114291234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 13240
- Legal business name
- KAISER PERMANENTE
- Practice address
- 10500 Summit Avenue
Kensington, MD 20895 - Phone
- (301) 897-2500
- NPI assigned
- Mar 7, 2012
- Last updated
- Mar 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry Lee Forrest, LCSW-C
- Title
- Psychotherapist II
- Phone
- (240) 620-1399
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 13240 | MD | Primary |
Addresses
Primary practice location
10500 Summit Avenue
Kensington, MD 20895
Mailing address
10500 Summit Avenue
Kensington, MD 20895
Phone (301) 897-2500
National Provider Directory
National Provider Directory- Tax ID family
- Kaiser Foundation Hosp Phcy
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.
-
- Clinical Social Worker
- Kensington, MD
- NPI 1790058766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331078400000",
"number": "1114291234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10500 SUMMIT AVENUE",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "20895",
"telephone_number": "301-897-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10500 SUMMIT AVENUE",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "20895",
"telephone_number": "301-897-2500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAISER PERMANENTE",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-07",
"last_updated": "2012-03-07",
"status": "A",
"authorized_official_last_name": "FORREST",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PSYCHOTHERAPIST II",
"authorized_official_telephone_number": "240-620-1399",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "MD",
"license": "13240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kensington, MD
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kensington Medical Center Pharmacy)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Kensington Behavioral Health)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Kensington Vision Center)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Kaiser Permanente Kensington ABA Services)
- Kaiser Permanente
- Jaikishan Kakar, PHARM.D.
- Zachary A Kalusin, LGPC
- Mohamed Kandeh
- Steven R Kane, PH.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.