Organization Active NPI

Perry Point Vamc

  • Psychiatric Hospital
  • Perry Point, MD
National Provider Identifier
1255569703
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
PERRY POINT VAMC
Practice address
0 Avenue D
Building 80H, Room 201
Perry Point, MD 21902-1003
Phone
(410) 642-2411
NPI assigned
Jun 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Miss Jacqueline Olivia Trotter, B.S.
Title
OT Intern
Phone
(410) 642-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

0 Avenue D
Building 80H, Room 201
Perry Point, MD 21902-1003

Mailing address

66 Country Dr
Leola, PA 17540-1717
Phone (717) 656-0529

National Provider Directory

National Provider Directory

Locations

0 Avenue D
Bldg 80H
Perry Point, MD 21902

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1255569703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 COUNTRY DR",
            "city": "LEOLA",
            "state": "PA",
            "postal_code": "175401717",
            "telephone_number": "717-656-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0 AVENUE D",
            "address_2": "BUILDING 80H, ROOM 201",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "219021003",
            "telephone_number": "410-642-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY POINT VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "OLIVIA",
        "authorized_official_title_or_position": "OT INTERN",
        "authorized_official_telephone_number": "410-642-2411",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry Point, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.