Nu Genesis Youth and Professional Development Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NU GENESIS YOUTH AND PROFESSIONAL DEVELOPMENT SERVICES, LLC

Doing business as

Nu Genesis Youth and Professional Development Services, LLC

Practice address

2451 Hanover CT
Waldorf, MD 20601-5302

Phone

(804) 517-4784

NPI assigned

Mar 3, 2014

Last updated

Mar 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margie McLean

Title

President and Ceo

Phone

(804) 517-4784

Specialties & licenses 3

Addresses

Other names 1

• Nu Genesis Youth and Professional Development Services, LLC Doing business as

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1215352067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 HANOVER CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206015302",
            "telephone_number": "804-517-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 HANOVER CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206015302",
            "telephone_number": "804-517-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU GENESIS YOUTH AND PROFESSIONAL DEVELOPMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "804-517-4784"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nu Genesis Youth and Professional Development Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.