Organization Active NPI

Reginald S Lourie Center for Infants & Young Children

  • Clinic/Center
  • Rockville, MD
National Provider Identifier
1326091810
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
11020 Issued in MD
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
266561100MedicaidMD

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

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.

Verify at the official NPI Registry.