Active NPI
Perry Point Vamc
- Psychiatric Hospital
- Perry Point, MD
National Provider Identifier
1255569703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.