Organization Active NPI

Pediatric Services of America

  • Nursing Care Agency
  • Bethesda, MD
National Provider Identifier
1174682629
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sleep Disorder Serv of76 organizations share this tax ID, including this one

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.

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.

Verify at the official NPI Registry.