NPIMap

Individual provider Active NPI

Asya B Bussie

  • Adult Day Care Clinic/Center
  • Windsor Mill, MD
National Provider Identifier
1396236790
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Practice address
2622 Lord Baltimore Dr Ste a
Windsor Mill, MD 21244-2639
Phone
(443) 629-0696
NPI assigned
May 22, 2018
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Adult Day Care Clinic/Center 261QA0600X MD Primary
Adult Development & Aging Psychologist 103TA0700X NU

Addresses

Primary practice location

2622 Lord Baltimore Dr Ste a
Windsor Mill, MD 21244-2639

Mailing address

3202 Blenheim Rd
Phoenix, MD 21131-2228
Phone (443) 629-0696

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Baltimore

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Living Limited Liability Company Day Training, Developmentally Disabled Services Current Accepting new patients
Activities Adult Medical Daycare LLC. Adult Development & Aging CurrentSince Jul 5, 2020 Accepting new patients
Be More Inc. Day Training, Developmentally Disabled Services Current Accepting new patients

Locations

2622 Lord Baltimore Dr
Ste A
Windsor Mill, MD 21244
Phone (443) 629-0696

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1396236790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 BLENHEIM RD",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211312228",
            "telephone_number": "443-629-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 LORD BALTIMORE DR STE A",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442639",
            "telephone_number": "443-629-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSIE",
        "first_name": "ASYA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Baltimore",
            "affiliation": "N",
            "address_1": "2622 Lord Baltimore Dr Ste A",
            "city": "Windsor Mill",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212442639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.