Organization Active NPI

Rock Creek Foundation

  • Community/Behavioral Health Agency
  • Silver Spring, MD
National Provider Identifier
1477005387
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5559 Issued in MD
Legal business name
ROCK CREEK FOUNDATION
Practice address
12120 Plum Orchard Dr
Suite B
Silver Spring, MD 20904-7820
Phone
(301) 586-0900
Fax
(301) 586-0908
NPI assigned
Oct 26, 2016
Organization subpart
Yes
Parent organization
AFFILIATED SANTE GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Mrs. Vivian Molina
Title
Ar Manager
Phone
(301) 572-6585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5559 MD Primary

Addresses

Primary practice location

12120 Plum Orchard Dr
Suite B
Silver Spring, MD 20904-7820

Mailing address

12200 Tech Rd
Ste 330
Silver Spring, MD 20904-1983
Phone (301) 572-6585

National Provider Directory

National Provider Directory
Tax ID family
Rock Creek Foundation for Mental Health Inc6 organizations share this tax ID, including this one
Part of
Asg

Other organizations with this tax ID 5

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": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1477005387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 TECH RD",
            "address_2": "STE 330",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041983",
            "telephone_number": "301-572-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12120 PLUM ORCHARD DR",
            "address_2": "SUITE B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047820",
            "telephone_number": "301-586-0900",
            "fax_number": "301-586-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK CREEK FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFILIATED SANTE GROUP",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "301-572-6585",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "5559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 26, 2016; 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.