NPIMap

Organization Active NPI

Rock Creek Foundation for Mental Health Inc

  • Developmental Disabilities Clinic/Center
  • Lanham, MD
National Provider Identifier
1386196400
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
ROCK CREEK FOUNDATION FOR MENTAL HEALTH INC
Practice address
4355 Nicole Dr Ste E
Lanham, MD 20706-4349
Phone
(301) 586-0900
Fax
(240) 516-0391
NPI assigned
Oct 25, 2016
Organization subpart
Yes
Parent organization
AFFILIATED SANTE GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Theresa Jackson
Title
Billing Coordinator/Am
Phone
(301) 586-0900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2898 MD
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

4355 Nicole Dr Ste E
Lanham, MD 20706-4349

Mailing address

12200 Tech Rd
Ste 330
Silver Spring, MD 20904-1983
Phone (301) 572-6585

National Provider Directory

National Provider Directory
Tax ID family
Rock Creek Foundation for Mental Health Inc6 organizations share this tax ID, including this one
Part of
Asg

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4355 Nicole Dr
Ste E
Lanham, MD 20706
Phone (301) 586-0900

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1386196400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 TECH RD",
            "address_2": "STE 330",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041983",
            "telephone_number": "301-572-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 NICOLE DR STE E",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064349",
            "telephone_number": "301-586-0900",
            "fax_number": "240-516-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK CREEK FOUNDATION FOR MENTAL HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFILIATED SANTE GROUP",
        "enumeration_date": "2016-10-25",
        "last_updated": "2023-10-03",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "BILLING COORDINATOR/AM",
        "authorized_official_telephone_number": "301-586-0900"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "2898",
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.