Active NPI
Northeast Family Services of Maryland
- Community/Behavioral Health Agency
- Columbia, MD
National Provider Identifier
1134718489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NORTHEAST FAMILY SERVICES OF MARYLAND
- Practice address
- 9520 Berger Rd Ste 304
Columbia, MD 21046-1540 - Phone
- (978) 530-6605
- NPI assigned
- Jan 12, 2021
- 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
- Nidhi Turner, LICSW
- Title
- Exec VP
- Phone
- (978) 530-6605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
9520 Berger Rd Ste 304
Columbia, MD 21046-1540
Mailing address
354 Merrimack St Ste 395
Lawrence, MA 01843-1754
Phone (774) 206-1125
National Provider Directory
National Provider DirectoryLocations
9520 Berger Rd
Ste 304
Columbia, MD 21046
Phone (978) 530-6605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610409600000",
"number": "1134718489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 MERRIMACK ST STE 395",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431754",
"telephone_number": "774-206-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9520 BERGER RD STE 304",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461540",
"telephone_number": "978-530-6605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST FAMILY SERVICES OF MARYLAND",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-12",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "NIDHI",
"authorized_official_title_or_position": "EXEC VP",
"authorized_official_telephone_number": "978-530-6605",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.