NPIMap

Organization Active NPI

American Center for Intellectual and Developmental Disabilities in MD

Doing business as ACIDD Maryland

  • Community/Behavioral Health Agency
  • Laurel, MD
National Provider Identifier
1255701215
Registry record updated Oct 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1658 1659 Issued in MD
Legal business name
AMERICAN CENTER FOR INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN MD
Doing business as
ACIDD Maryland
Practice address
300 Thomas Dr
Suite D
Laurel, MD 20707-4700
Phone
(301) 377-0750
NPI assigned
Oct 3, 2015
Last updated
Oct 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2015

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

Authorized official

Name
Dr. Joseph Mathew, PH.D.
Title
President
Phone
(443) 718-7031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1658 1659 MD Primary

Addresses

Primary practice location

300 Thomas Dr
Suite D
Laurel, MD 20707-4700

Mailing address

8980 Old Annapolis Rd
Suite B
Columbia, MD 21045-2115
Phone (443) 319-5010

Other names 1

  • ACIDD Maryland Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Acidd Maryland3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

300 Thomas Dr
Ste D
Laurel, MD 20707
Phone (301) 377-0750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443830400000",
    "number": "1255701215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8980 OLD ANNAPOLIS RD",
            "address_2": "SUITE B",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452115",
            "telephone_number": "443-319-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 THOMAS DR",
            "address_2": "SUITE D",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074700",
            "telephone_number": "301-377-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CENTER FOR INTELLECTUAL AND DEVELOPMENTAL DISABILITIES IN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-03",
        "last_updated": "2015-10-03",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-718-7031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "1658 1659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACIDD Maryland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2015; 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.