NPIMap

Organization Active NPI

JTC Behavioral Health Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hyattsville, MD
National Provider Identifier
1558072256
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
JTC BEHAVIORAL HEALTH SERVICES
Practice address
8700 Central Avenue
Suite #300/#200B
Hyattsville, MD 20785-4853
Phone
(240) 838-7068
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
John Ihueze Iheoma
Title
Ceo
Phone
(443) 857-9193

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

8700 Central Avenue
Suite #300/#200B
Hyattsville, MD 20785-4853

Mailing address

8700 Central Avenue
Ste #300/#200B
Hyattsville, MD 20785-4853
Phone (240) 838-7068

National Provider Directory

National Provider Directory
Tax ID family
JTC Behavioral Health Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

8700 Central Ave
Ste 300200B
Hyattsville, MD 20785
Phone (240) 838-7068

8700 Central Ave
Ste 300
Landover, MD 20785
Phone (240) 708-6529

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1558072256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVENUE",
            "address_2": "STE #300/#200B",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854853",
            "telephone_number": "240-838-7068",
            "fax_number": "240-619-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVENUE",
            "address_2": "SUITE #300/#200B",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854853",
            "telephone_number": "240-838-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTC BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2023-06-06",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "IHEOMA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "IHUEZE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-857-9193"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.