Organization Active NPI

Halback and Associates LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Hyattsville, MD
National Provider Identifier
1457095663
Registry record updated Apr 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
HALBACK AND ASSOCIATES LLC
Practice address
3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146
Phone
(202) 290-8335
NPI assigned
Apr 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2022

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

Authorized official

Name
Kim Halback, LCSW-C
Title
Owner/LCSW-C
Phone
(202) 290-8335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146

Mailing address

3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146
Phone (202) 290-8335

National Provider Directory

National Provider Directory
Tax ID family
Halback and Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1650758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650758400000",
    "number": "1457095663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER STE B103",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207828146",
            "telephone_number": "202-290-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER STE B103",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207828146",
            "telephone_number": "202-290-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALBACK AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-24",
        "last_updated": "2022-04-24",
        "certification_date": "2022-04-24",
        "status": "A",
        "authorized_official_last_name": "HALBACK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER/LCSW-C",
        "authorized_official_telephone_number": "202-290-8335",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2022; 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.