NPIMap

Organization Active NPI

Family Services, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1295194371
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
588881600 Issued in MD
Legal business name
FAMILY SERVICES, INC
Practice address
630 East Diamond Ave
Gaithersburg, MD 20877-5321
Phone
(301) 840-3292
Fax
(301) 963-6237
NPI assigned
Feb 17, 2016
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Mrs. Kylie McCleaf
Title
Ceo
Phone
(301) 840-3267

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 588881600 MD Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

630 East Diamond Ave
Gaithersburg, MD 20877-5321

Mailing address

610 E Diamond Ave
Suite 100
Gaithersburg, MD 20877-5321
Phone (301) 840-2000

Other identifiers 4

IdentifierTypeStateIssuer
1194115170MedicaidMD
1780641928MedicaidMD
1437273372MedicaidMD
1518157965MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Family SVC of Mont Co I17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1295194371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E DIAMOND AVE",
            "address_2": "SUITE 100",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208775321",
            "telephone_number": "301-840-2000",
            "fax_number": "301-840-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 EAST DIAMOND AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208775321",
            "telephone_number": "301-840-3292",
            "fax_number": "301-963-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "MCCLEAF",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-840-3267",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "588881600",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194115170",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780641928",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437273372",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518157965",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.