NPIMap

Organization Active NPI

American Ctr for Intellectual and Dev. Disabilities in MD, Inc.

  • Community/Behavioral Health Agency
  • Columbia, MD
National Provider Identifier
1265889653
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH-1963 & 1964 Issued in MD
Legal business name
AMERICAN CTR FOR INTELLECTUAL AND DEV. DISABILITIES IN MD, INC.
Practice address
5999 Harpers Farm Rd
Suite E-250
Columbia, MD 21044-3013
Phone
(443) 319-5010
NPI assigned
May 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Joseph Mathew, PH.D
Title
President
Phone
(443) 319-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH-1963 & 1964 MD Primary

Addresses

Primary practice location

5999 Harpers Farm Rd
Suite E-250
Columbia, MD 21044-3013

Mailing address

5999 Harpers Farm Rd
Suite E-250
Columbia, MD 21044-3013
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

5999 Harpers Farm Rd
Ste E250
Columbia, MD 21044
Phone (410) 715-1212

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1265889653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5999 HARPERS FARM RD",
            "address_2": "SUITE E-250",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443013",
            "telephone_number": "443-319-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 HARPERS FARM RD",
            "address_2": "SUITE E-250",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443013",
            "telephone_number": "443-319-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CTR FOR INTELLECTUAL AND DEV. DISABILITIES IN MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-319-5010",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "MH-1963 & 1964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACIDD Maryland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.