NPIMap

Organization Active NPI

Adolescent and Family Services/Mental Health

  • Adolescent and Children Mental Health Clinic/Center
  • Glen Burnie, MD
National Provider Identifier
1134527872
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
MH-882 Issued in MD
Legal business name
ADOLESCENT AND FAMILY SERVICES/MENTAL HEALTH
Practice address
122 Langley Rd N
Ste a
Glen Burnie, MD 21060-6531
Phone
(410) 222-6785
Fax
(410) 222-6888
NPI assigned
Dec 11, 2014
Organization subpart
Yes
Parent organization
ANNE ARUNDEL COUNTY DEPT. OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

Name
Timothy Laureska
Title
Deputy Health Officer/Operations
Phone
(410) 222-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X MH-882 MD Primary

Addresses

Primary practice location

122 Langley Rd N
Ste a
Glen Burnie, MD 21060-6531

Mailing address

3 Harry S Truman Pkwy
HD19
Annapolis, MD 21401-7031
Phone (410) 222-7164

National Provider Directory

National Provider Directory
Tax ID family
Adolsecent Family Svcsaddictions29 organizations share this tax ID, including this one
Part of
Adolsecent Family Svcsaddictions

Other organizations with this tax ID 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1134527872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HARRY S TRUMAN PKWY",
            "address_2": "HD19",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017031",
            "telephone_number": "410-222-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LANGLEY RD N",
            "address_2": "STE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606531",
            "telephone_number": "410-222-6785",
            "fax_number": "410-222-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLESCENT AND FAMILY SERVICES/MENTAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANNE ARUNDEL COUNTY DEPT. OF HEALTH",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "LAURESKA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DEPUTY HEALTH OFFICER/OPERATIONS",
        "authorized_official_telephone_number": "410-222-7377"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "MH-882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.