NPIMap

Organization Active NPI

Maryland Treatment Centers, Inc.

Doing business as Avery Road Treatment Center

  • Adult Mental Health Clinic/Center
  • Rockville, MD
National Provider Identifier
1437317559
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MARYLAND TREATMENT CENTERS, INC.
Doing business as
Avery Road Treatment Center
Practice address
14703 Avery Rd
Rockville, MD 20853-3605
Phone
(301) 762-5613
Fax
(301) 762-3451
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Mr. William J. Roby, MBA
Title
Executive Vice President
Phone
(301) 447-2361

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MD
Adult Mental Health Clinic/Center 261QM0850X MD Primary

Addresses

Primary practice location

14703 Avery Rd
Rockville, MD 20853-3605

Mailing address

14703 Avery Rd
Rockville, MD 20853-3605
Phone (301) 762-5613

Other identifiers 1

IdentifierTypeStateIssuer
090501103MedicaidMD

Other names 1

  • Avery Road Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maryland Treatment Centers Inc42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1437317559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14703 AVERY RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533605",
            "telephone_number": "301-762-5613",
            "fax_number": "301-762-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14703 AVERY RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533605",
            "telephone_number": "301-762-5613",
            "fax_number": "301-762-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND TREATMENT CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "ROBY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "301-447-2361",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090501103",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avery Road Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.