NPIMap

Organization Active NPI

Prince George'S County Health Department

  • Case Management Agency
  • Capitol Heights, MD
National Provider Identifier
1558715326
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
SC0512 Issued in MD
Legal business name
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Practice address
501 Hampton Park Blvd
Capitol Heights, MD 20743-3802
Phone
(301) 324-2872
Fax
(301) 324-2850
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Wright Doss, LCSW-C
Title
Associate Director
Phone
(301) 883-7903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X SC0512 MD Primary

Addresses

Primary practice location

501 Hampton Park Blvd
Capitol Heights, MD 20743-3802

Mailing address

501 Hampton Park Blvd
Capitol Heights, MD 20743-3802
Phone (301) 324-2872

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1558715326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HAMPTON PARK BLVD",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433802",
            "telephone_number": "301-324-2872",
            "fax_number": "301-324-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HAMPTON PARK BLVD",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433802",
            "telephone_number": "301-324-2872",
            "fax_number": "301-324-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "WRIGHT",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "301-883-7903",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MD",
            "license": "SC0512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.