Active NPI
Norkris Foundation Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Havre de Grace, MD
National Provider Identifier
1306385232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- NORKRIS FOUNDATION INC.
- Practice address
- 611 S Union Ave
Havre de Grace, MD 21078-3421 - Phone
- (443) 526-6133
- Fax
- (443) 526-6134
- NPI assigned
- Feb 12, 2017
- Organization subpart
- Yes
- Parent organization
- NORKRIS SERVICES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Audrey Forka, CRNP
- Title
- President
- Phone
- (443) 526-6133
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | R219171 | MD | |
| Voluntary or Charitable Agency | 251V00000X | R219171 | MD | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
611 S Union Ave
Havre de Grace, MD 21078-3421
Mailing address
611 S Union Ave
Havre de Grace, MD 21078-3421
Phone (443) 526-6133
National Provider Directory
National Provider Directory- Tax ID family
- Norkris Foundation Inc
- Part of
- Norkris Services Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Havre de Grace, MD
- NPI 1255963393
-
- Community/Behavioral Health Agency
- Havre de Grace, MD
- NPI 1356973952
Locations
611 S Union Ave
Hvre de Grace, MD 21078
Phone (443) 526-6133
402 Lewis St
Hvre de Grace, MD 21078
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Behavioral Health Agency
- Havre de Grace, MD
- NPI 1487025094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588550400000",
"number": "1306385232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 S UNION AVE",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783421",
"telephone_number": "443-526-6133",
"fax_number": "443-526-6134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 S UNION AVE",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783421",
"telephone_number": "443-526-6133",
"fax_number": "443-526-6134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORKRIS FOUNDATION INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORKRIS SERVICES, INC",
"enumeration_date": "2017-02-12",
"last_updated": "2020-05-04",
"certification_date": "2020-05-04",
"status": "A",
"authorized_official_last_name": "FORKA",
"authorized_official_first_name": "AUDREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "443-526-6133",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MD",
"license": "R219171",
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "MD",
"license": "R219171",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Havre de Grace, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.