Active NPI
Pediatric Services of America
- Nursing Care Agency
- Bethesda, MD
National Provider Identifier
1174682629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- PEDIATRIC SERVICES OF AMERICA
- Doing business as
- PSA Healthcare
- Practice address
- 6701 Democracy Blvd
Ste 300
Bethesda, MD 20817-1572 - Phone
- (301) 571-9446
- Fax
- (301) 564-9619
- NPI assigned
- Dec 8, 2006
- 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
- Dale Valentine
- Title
- VP Compliance Officer
- Phone
- (770) 248-8757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
6701 Democracy Blvd
Ste 300
Bethesda, MD 20817-1572
Mailing address
310 Technology Pkwy
Norcross, GA 30092-2932
Phone (770) 441-1580
Other names 1
- PSA Healthcare
National Provider Directory
National Provider Directory- Tax ID family
- Sleep Disorder Serv of
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Nursing Care Agency
- Baltimore, MD
- NPI 1477401123
Locations
310 Technology Pkwy
Norcross, GA 30092
Phone (770) 321-6600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174682629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 TECHNOLOGY PKWY",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300922932",
"telephone_number": "770-441-1580",
"fax_number": "770-248-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 DEMOCRACY BLVD",
"address_2": "STE 300",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171572",
"telephone_number": "301-571-9446",
"fax_number": "301-564-9619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC SERVICES OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VALENTINE",
"authorized_official_first_name": "DALE",
"authorized_official_title_or_position": "VP COMPLIANCE OFFICER",
"authorized_official_telephone_number": "770-248-8757"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PSA Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.