NPIMap

Organization Active NPI

Compassionate Specialty Clinic, LLC

  • Community/Behavioral Health Agency
  • Greenbelt, MD
National Provider Identifier
1548863368
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMPASSIONATE SPECIALTY CLINIC, LLC
Practice address
7831 Belle Point Dr
Greenbelt, MD 20770-3338
Phone
(301) 902-0664
NPI assigned
Nov 17, 2020
Organization subpart
Yes
Parent organization
COMPASSIONATE SPECIALTY CLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Dr. Ivan N Zama, MDNPI 1912177288
Title
Owner
Phone
(301) 902-0664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7831 Belle Point Dr
Greenbelt, MD 20770-3338

Mailing address

10319 Westlake Dr Ste 193
Bethesda, MD 20817-6403

National Provider Directory

National Provider Directory
Tax ID family
Compassionate Spec CLNC LLC6 organizations share this tax ID, including this one
Part of
Compassionate Spec CLNC LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1548863368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 WESTLAKE DR STE 193",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208176403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 BELLE POINT DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703338",
            "telephone_number": "301-902-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE SPECIALTY CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPASSIONATE SPECIALTY CLINIC, LLC",
        "enumeration_date": "2020-11-17",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "ZAMA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-902-0664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.