NPIMap

Organization Active NPI

New Vision Behavioral Healthcare,Inc.

  • Clinical Social Worker
  • Hyattsville, MD
National Provider Identifier
1326343096
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09832 Issued in MD
Legal business name
NEW VISION BEHAVIORAL HEALTHCARE,INC.
Practice address
4607 69TH Ave
Hyattsville, MD 20784-2123
Phone
(301) 925-9120
Fax
(301) 925-4328
NPI assigned
Jan 11, 2011
Last updated
Jan 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Jennifer Shellhammer
Title
Administration
Phone
(301) 925-9120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09832 MD Primary

Addresses

Primary practice location

4607 69TH Ave
Hyattsville, MD 20784-2123

Mailing address

4607 69TH Ave
Hyattsville, MD 20784-2123
Phone (301) 925-9120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1326343096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 69TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842123",
            "telephone_number": "301-925-9120",
            "fax_number": "301-925-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 69TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842123",
            "telephone_number": "301-925-9120",
            "fax_number": "301-925-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION BEHAVIORAL HEALTHCARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "SHELLHAMMER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "301-925-9120"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.