NPIMap

Organization Active NPI

Msa the Child and Adolescent Center

  • Community/Behavioral Health Agency
  • Columbia, MD
National Provider Identifier
1508275074
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LC5864 Issued in MD
Legal business name
MSA THE CHILD AND ADOLESCENT CENTER
Practice address
10005 Old Columbia Rd
Suite L260
Columbia, MD 21046-1702
Phone
(443) 259-0400
NPI assigned
Aug 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Authorized official

Name
Mr. Martin Slutsky
Title
Owner
Phone
(443) 259-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LC5864 MD Primary

Addresses

Primary practice location

10005 Old Columbia Rd
Suite L260
Columbia, MD 21046-1702

Mailing address

10005 Old Columbia Rd
Suite L260
Columbia, MD 21046-1702
Phone (443) 259-0400

National Provider Directory

National Provider Directory

Locations

10005 Old Columbia Rd
Ste L260
Columbia, MD 21046
Phone (443) 259-0400

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1508275074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10005 OLD COLUMBIA RD",
            "address_2": "SUITE L260",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461702",
            "telephone_number": "443-259-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 OLD COLUMBIA RD",
            "address_2": "SUITE L260",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461702",
            "telephone_number": "443-259-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSA THE CHILD AND ADOLESCENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "SLUTSKY",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-259-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LC5864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.