Active NPI
CPT
- Family Health Clinical Nurse Specialist
- Cumberland, MD
National Provider Identifier
1487038543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- R201919
- Legal business name
- CPT
- Practice address
- 249 Henderson Ave
Cumberland, MD 21502-1638 - Phone
- (240) 362-7444
- NPI assigned
- Jul 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Schnably
- Title
- Owner
- Phone
- (214) 435-4752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | R201919 | MD | Primary |
Addresses
Primary practice location
249 Henderson Ave
Cumberland, MD 21502-1638
Mailing address
249 Henderson Ave
Cumberland, MD 21502-1638
Phone (240) 362-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 789005200 | Medicaid | MD |
Other names 1
- potomac behavioral and occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- CPT LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Professional Counselor
- Cumberland, MD
- NPI 1144612409
-
- Occupational Therapist
- Cumberland, MD
- NPI 1063909448
-
- Addiction (Substance Use Disorder) Counselor
- Cumberland, MD
- NPI 1568914760
-
- General Practice Physician
- Cumberland, MD
- NPI 1609315126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437091200000",
"number": "1487038543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 HENDERSON AVE",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215021638",
"telephone_number": "240-362-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 HENDERSON AVE",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215021638",
"telephone_number": "240-362-7444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CPT",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-17",
"last_updated": "2015-07-17",
"status": "A",
"authorized_official_last_name": "SCHNABLY",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-435-4752"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "MD",
"license": "R201919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "789005200",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "potomac behavioral and occupational therapy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.