NPIMap

Organization Active NPI

Kaygee40, Incorporation

  • Adult Mental Health Clinic/Center
  • Bowie, MD
National Provider Identifier
1275930711
Registry record updated Nov 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MH-1511 Issued in MD
Legal business name
KAYGEE40, INCORPORATION
Practice address
6911 Laurel Bowie Rd
Suite #303
Bowie, MD 20715-1712
Phone
(301) 704-5094
NPI assigned
Nov 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2014

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

Authorized official

Name
Mr. Olukayode Tope Taiwo, RN, MSN, MBA
Title
Program Administrator
Phone
(301) 704-5094

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MH-1511 MD Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X MH-1511 MD

Addresses

Primary practice location

6911 Laurel Bowie Rd
Suite #303
Bowie, MD 20715-1712

Mailing address

6911 Laurel Bowie Rd
Suite #303
Bowie, MD 20715-1712
Phone (301) 704-5094

Other names 1

  • CAROLKAY HEALTHCARE SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolkay Healthcare Services3 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.

NPI Registry JSON

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

{
    "created_epoch": "1417132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417132800000",
    "number": "1275930711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 LAUREL BOWIE RD",
            "address_2": "SUITE #303",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151712",
            "telephone_number": "301-704-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 LAUREL BOWIE RD",
            "address_2": "SUITE #303",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151712",
            "telephone_number": "301-704-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYGEE40, INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-28",
        "last_updated": "2014-11-28",
        "status": "A",
        "authorized_official_last_name": "TAIWO",
        "authorized_official_first_name": "OLUKAYODE",
        "authorized_official_middle_name": "TOPE",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "301-704-5094",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, MSN, MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "MH-1511",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "MH-1511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLKAY HEALTHCARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 28, 2014; 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.