NPIMap

Organization Active NPI

Clinical Solutions

  • Mental Health Counselor
  • Burtonsville, MD
National Provider Identifier
1154872059
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CLINICAL SOLUTIONS
Practice address
4000 Blackburn LN Ste 150
Burtonsville, MD 20866-6127
Phone
(310) 421-4241
Fax
(888) 317-2075
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
William Charles Edmunds
Title
Human Resource
Phone
(410) 372-7628

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X
Clinical Child & Adolescent PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC2200X
Intellectual & Developmental Disabilities PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TM1800X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Addresses

Primary practice location

4000 Blackburn LN Ste 150
Burtonsville, MD 20866-6127

Mailing address

4000 Blackburn LN Ste 150
Burtonsville, MD 20866-6127
Phone (301) 421-4241

Other practice location 1

3909 National Dr
Suite160
Burtonsville, MD 20866-1191
Phone (301) 421-4241

National Provider Directory

National Provider Directory
Tax ID family
Clinical Solutions Incorporated8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

3909 National Dr
Ste 160
Burtonsville, MD 20866
Phone (301) 421-4241

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1154872059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BLACKBURN LN STE 150",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666127",
            "telephone_number": "301-421-4241",
            "fax_number": "888-317-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BLACKBURN LN STE 150",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666127",
            "telephone_number": "310-421-4241",
            "fax_number": "888-317-2075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 National Dr",
            "address_2": "Suite160",
            "address_purpose": "LOCATION",
            "city": "Burtonsville",
            "state": "MD",
            "postal_code": "208661191",
            "country_code": "US",
            "telephone_number": "301-421-4241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLINICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "EDMUNDS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "HUMAN RESOURCE",
        "authorized_official_telephone_number": "410-372-7628"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.