Active NPI
King Health Systems, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Laurel, MD
National Provider Identifier
1144837980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- KING HEALTH SYSTEMS, INC.
- Practice address
- 14201 Laurel Park Dr Ste 206
Laurel, MD 20707-5203 - Phone
- (301) 725-5464
- NPI assigned
- Sep 25, 2020
- 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
- Sule Salako
- Title
- Ceo
- Phone
- (301) 725-5464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
14201 Laurel Park Dr Ste 206
Laurel, MD 20707-5203
Mailing address
3502 W Rogers Ave Ste 1
Baltimore, MD 21215-4749
Phone (410) 578-4340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200109439 | Other | MD | MARYLAND MEDICAID |
National Provider Directory
National Provider Directory- Tax ID family
- King Health Systems Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Laurel, MD
- NPI 1104433945
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1841558640
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Baltimore, MD
- NPI 1316817505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600992000000",
"number": "1144837980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 W ROGERS AVE STE 1",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212154749",
"telephone_number": "410-578-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 LAUREL PARK DR STE 206",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075203",
"telephone_number": "301-725-5464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KING HEALTH SYSTEMS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A",
"authorized_official_last_name": "SALAKO",
"authorized_official_first_name": "SULE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-725-5464"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND MEDICAID",
"identifier": "200109439",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.