NPIMap

Organization Active NPI

D.a. Wynne & Associates,Inc.

  • Addiction (Substance Use Disorder) Psychologist
  • Silver Spring, MD
National Provider Identifier
1457474017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
903158 Issued in MD
Legal business name
D.A. WYNNE & ASSOCIATES,INC.
Practice address
10230 New Hampshire Ave
Suite 206
Silver Spring, MD 20903-1400
Phone
(301) 439-6700
Fax
(301) 439-5755
NPI assigned
Apr 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Karen Grace Cooper, M.P.A., LCADC
Title
Clinical Director
Phone
(301) 439-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 903158 MD Primary

Addresses

Primary practice location

10230 New Hampshire Ave
Suite 206
Silver Spring, MD 20903-1400

Mailing address

10230 New Hampshire Ave
Suite 206
Silver Spring, MD 20903-1400
Phone (301) 439-6700

Other names 1

  • Silver Spring Outpatient Treatment Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Da Wynne Associatesinc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457474017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 206",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031400",
            "telephone_number": "301-439-6700",
            "fax_number": "301-439-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 206",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031400",
            "telephone_number": "301-439-6700",
            "fax_number": "301-439-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.A. WYNNE & ASSOCIATES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "301-439-6700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.P.A., LCADC"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "903158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Spring Outpatient Treatment Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.