NPIMap

Organization Active NPI

Maryland Treatment Centers, Inc.

Doing business as Avery Road Combined Care

  • Substance Abuse Rehabilitation Facility
  • Rockville, MD
National Provider Identifier
1245548163
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
PENDING Issued in MD
Legal business name
MARYLAND TREATMENT CENTERS, INC.
Doing business as
Avery Road Combined Care
Practice address
14701 Avery Rd
Rockville, MD 20853-3605
Phone
(301) 279-8828
Fax
(301) 279-8910
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Mr. William J. Roby, MBA
Title
Executive Vice President
Phone
(301) 447-2361

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PENDING MD
Adult Mental Health Clinic/Center 261QM0850X PENDING MD
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X PENDING MD
Substance Abuse Rehabilitation Facility 324500000X PENDING MD Primary

Addresses

Primary practice location

14701 Avery Rd
Rockville, MD 20853-3605

Mailing address

14701 Avery Rd
Rockville, MD 20853-3605
Phone (301) 279-8828

Other names 1

  • Avery Road Combined Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maryland Treatment Centers Inc42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1245548163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14701 AVERY RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533605",
            "telephone_number": "301-279-8828",
            "fax_number": "301-279-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 AVERY RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533605",
            "telephone_number": "301-279-8828",
            "fax_number": "301-279-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND TREATMENT CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "ROBY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "301-447-2361",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avery Road Combined Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.