NPIMap

Organization Active NPI

Act-4

  • Case Management Agency
  • Washington, DC
National Provider Identifier
1316070535
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
2025579 Issued in DC
Legal business name
ACT-4
Practice address
3849 Alabama Ave SE
Washington, DC 20020-1001
Phone
(202) 645-7272
Fax
(202) 645-7270
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. Darin Street, BS
Title
Mental Health Specialist
Phone
(202) 645-7277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 2025579 DC Primary

Addresses

Primary practice location

3849 Alabama Ave SE
Washington, DC 20020-1001

Mailing address

1819 Burke St SE
Washington, DC 20003-2512
Phone (202) 543-7747

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1316070535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 BURKE ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032512",
            "telephone_number": "202-543-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 ALABAMA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200201001",
            "telephone_number": "202-645-7272",
            "fax_number": "202-645-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT-4",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "MENTAL HEALTH SPECIALIST",
        "authorized_official_telephone_number": "202-645-7277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "DC",
            "license": "2025579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.