Active NPI
Reginald S Lourie Center for Infants & Young Children
- Clinic/Center
- Rockville, MD
National Provider Identifier
1326091810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 11020
- Legal business name
- REGINALD S LOURIE CENTER FOR INFANTS & YOUNG CHILDREN
- Practice address
- 12301 Academy Way
Rockville, MD 20852-2000 - Phone
- (301) 984-4444
- Fax
- (301) 881-8073
- NPI assigned
- May 18, 2006
- Last updated
- May 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tracye A Polson, LCSWC
- Title
- Executive Director
- Phone
- (301) 984-4444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 11020 | MD | Primary |
Addresses
Primary practice location
12301 Academy Way
Rockville, MD 20852-2000
Mailing address
12301 Academy Way
Rockville, MD 20852-2000
Phone (301) 984-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266561100 | Medicaid | MD |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Adventist HealthCare White Oak Medical Center
- General Acute Care Hospital
- Silver Spring, MD
- NPI 1487650024
Member Of
Locations
12301 Academy Way
Rockville, MD 20852
Phone (301) 984-4444
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Chevy Chase, MD
- NPI 1578606281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1326091810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12301 ACADEMY WAY",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522000",
"telephone_number": "301-984-4444",
"fax_number": "301-881-8073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 ACADEMY WAY",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522000",
"telephone_number": "301-984-4444",
"fax_number": "301-881-8073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGINALD S LOURIE CENTER FOR INFANTS & YOUNG CHILDREN",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "POLSON",
"authorized_official_first_name": "TRACYE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "301-984-4444",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSWC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MD",
"license": "11020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266561100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.