Organization Active NPI

Bowie Therapeutic Nursery Center, Inc.

  • Early Intervention Provider Agency
  • Bowie, MD
National Provider Identifier
1275774556
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
21381 Issued in MD
Legal business name
BOWIE THERAPEUTIC NURSERY CENTER, INC.
Practice address
3120 Belair Dr
Bowie, MD 20715-3101
Phone
(301) 262-9167
Fax
(301) 805-5094
NPI assigned
Mar 16, 2009
Last updated
Mar 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Ms. Kathleen A Kauffmann, LCSW-C
Title
Clinical Director
Phone
(301) 262-9167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 21381 MD Primary

Addresses

Primary practice location

3120 Belair Dr
Bowie, MD 20715-3101

Mailing address

3120 Belair Dr
Bowie, MD 20715-3101
Phone (301) 262-9167

Other identifiers 1

IdentifierTypeStateIssuer
646410600MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Bowie Therapeutic Center PRP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3120 Belair Dr
Bowie, MD 20715
Phone (301) 262-9167

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1275774556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 BELAIR DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153101",
            "telephone_number": "301-262-9167",
            "fax_number": "301-805-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 BELAIR DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153101",
            "telephone_number": "301-262-9167",
            "fax_number": "301-805-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWIE THERAPEUTIC NURSERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "KAUFFMANN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "301-262-9167",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MD",
            "license": "21381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "646410600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

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