Urban Interventional Strategies

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC4018 Issued in MD

Legal business name

URBAN INTERVENTIONAL STRATEGIES

Practice address

15108 Doveheart LN
Bowie, MD 20721-3054

Phone

(240) 461-3008

NPI assigned

Jun 19, 2015

Last updated

Jun 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Jackson, PH.D.

Title

Owner/Chief Executive Officer

Phone

(240) 461-3008

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1114309721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15108 DOVEHEART LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213054",
            "telephone_number": "240-461-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15108 DOVEHEART LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213054",
            "telephone_number": "240-461-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN INTERVENTIONAL STRATEGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "240-461-3008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "PRC14352",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LC4018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "713424",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Maryland Surgical Associates, PA (Office Bowie Health Center-Pediatric Surgery)
• University of Maryland Surgical Associates, PA (Office Bowie Health Center-Vascular Surgery)
• Urban Behavioral Associates
• Urban Behavioral Associates
• Urban Behavioral Associates PA
• Urban Playology LLC
• Urban Therapy
• Emike Y Usman-Aliu, DDS
• Precious Afor Utokoro
• Venessa Mah Utokoro

• Community/Behavioral Health Agency in Bowie, MD
• Providers in Bowie, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.