St.Jerome Catholic Church

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ST.JEROME CATHOLIC CHURCH

Practice address

5205 43Rd Ave
Hyattsville, MD 20781-2001

Phone

(301) 927-6684

Fax

(301) 927-9167

NPI assigned

Apr 23, 2018

Organization subpart

No

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

Authorized official

Name

Miss Rebecca Marie Mullan, LCPC

Title

Marriage & Family Counselor

Phone

(301) 927-6684

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1366930646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 43RD AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207812001",
            "telephone_number": "301-927-6684",
            "fax_number": "301-927-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 43RD AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207812001",
            "telephone_number": "301-927-6684",
            "fax_number": "301-927-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.JEROME CATHOLIC CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "MULLAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY COUNSELOR",
        "authorized_official_telephone_number": "301-927-6684",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stanly
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• Paige Victoria Steele

• Adult Mental Health Clinic/Center in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Adult Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.