Organization Active NPI

Foundation for Families Counseling and Consultation

  • Clinical Psychologist
  • Glen Burnie, MD
National Provider Identifier
1447433925
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
01048 Issued in MD
Legal business name
FOUNDATION FOR FAMILIES COUNSELING AND CONSULTATION
Practice address
301C Crain Hwy SE
301C
Glen Burnie, MD 21061
Phone
(410) 761-8708
Fax
(410) 761-2474
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Mr. David Joseph Fowler, MA DAPA
Title
Owner
Phone
(410) 761-8708

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 01048 MD
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 01048 MD Primary

Addresses

Primary practice location

301C Crain Hwy SE
301C
Glen Burnie, MD 21061

Mailing address

PO Box 537
Foundation for Families Counseling and Consultationffcc
Crownsville, MD 21032
Phone (410) 761-8708

Other names 1

  • FFCC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1447433925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "address_2": "FOUNDATION FOR FAMILIES COUNSELING AND CONSULTATIONFFCC",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "21032",
            "telephone_number": "410-761-8708",
            "fax_number": "410-761-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301C CRAIN HWY SE",
            "address_2": "301C",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-761-8708",
            "fax_number": "410-761-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FOR FAMILIES COUNSELING AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-761-8708",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA DAPA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "01048",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "01048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FFCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.