NPIMap

Organization Active NPI

Abreast Therapeutic Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lanham, MD
National Provider Identifier
1417673302
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ABREAST THERAPEUTIC CENTER INC
Practice address
9418 Annapolis Rd Ste 202
Lanham, MD 20706-3053
Phone
(240) 764-5180
NPI assigned
Oct 13, 2022
Last updated
Feb 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Mr. Abayomi Sokoya
Title
President
Phone
(240) 764-5180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

9418 Annapolis Rd Ste 202
Lanham, MD 20706-3053

Mailing address

9418 Annapolis Rd Ste 202
Lanham, MD 20706-3053
Phone (240) 764-5180

Other identifiers 1

IdentifierTypeStateIssuer
888175800MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Abreast Therapeutic Center Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

9418 Annapolis Rd
Ste 200
Lanham, MD 20706

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1417673302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9418 ANNAPOLIS RD STE 202",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063053",
            "telephone_number": "240-764-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9418 ANNAPOLIS RD STE 202",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063053",
            "telephone_number": "240-764-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABREAST THERAPEUTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2023-02-09",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "SOKOYA",
        "authorized_official_first_name": "ABAYOMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-764-5180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888175800",
            "state": "MD"
        }
    ],
    "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 Feb 9, 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.