NPIMap

Organization Active NPI

Utopian Institute of Family Living LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oxon Hill, MD
National Provider Identifier
1457053787
Registry record updated Mar 20, 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
UTOPIAN INSTITUTE OF FAMILY LIVING LLC
Practice address
6188 Oxon Hill Rd Ste 101
Oxon Hill, MD 20745-3149
Phone
(240) 493-7580
Fax
(240) 838-3253
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Mrs. Tennille Harris
Title
Executive Director
Phone
(877) 290-0201

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

6188 Oxon Hill Rd Ste 101
Oxon Hill, MD 20745-3149

Mailing address

6188 Oxon Hill Rd Ste 401
Oxon Hill, MD 20745-3157
Phone (240) 838-3094

Other practice location 1

6819 Reisterstown Rd Ste 203
Baltimore, MD 21215-1418
Phone (443) 438-4584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260214000116 DC Part B Supplier - Clinic/Group Practice 4284073735 Receives reassigned benefits from 2 practitioners
Practice locations: Oxon Hill, MD

National Provider Directory

National Provider Directory
Tax ID family
Utopian Institute of Family Living LLC8 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1457053787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD STE 401",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453157",
            "telephone_number": "240-838-3094",
            "fax_number": "240-838-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD STE 101",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453149",
            "telephone_number": "240-493-7580",
            "fax_number": "240-838-3253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6819 Reisterstown Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212151418",
            "country_code": "US",
            "telephone_number": "443-438-4584",
            "fax_number": "240-838-3253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UTOPIAN INSTITUTE OF FAMILY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TENNILLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "877-290-0201",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.