Active NPI
Rock Creek Foundation
- Community/Behavioral Health Agency
- Silver Spring, MD
National Provider Identifier
1477005387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 5559
- 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 GROUP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
- Part of
- Asg
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmental Disabilities Clinic/Center
- Lanham, MD
- NPI 1205615739
-
- Developmental Disabilities Clinic/Center
- Silver Spring, MD
- NPI 1295841781
-
- Developmental Disabilities Clinic/Center
- Lanham, MD
- NPI 1386196400
-
- Community/Behavioral Health Agency
- Silver Spring, MD
- NPI 1538707088
-
- Community/Behavioral Health Agency
- Lanham, MD
- NPI 1568000248
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.