NPIMap

Organization Active NPI

Maple Shade Youth & Family Services, Inc.

  • Community/Behavioral Health Agency
  • Mardela Springs, MD
National Provider Identifier
1578723987
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
138090700 Issued in MD
Legal business name
MAPLE SHADE YOUTH & FAMILY SERVICES, INC.
Practice address
23704 Ocean Gtwy
Mardela Springs, MD 21837-2101
Phone
(410) 742-7400
NPI assigned
Jun 10, 2008
Last updated
Apr 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Asher Jaxon Casey, LCPC
Title
Rehabilitation Specialist
Phone
(410) 742-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 138090700 MD Primary

Addresses

Primary practice location

23704 Ocean Gtwy
Mardela Springs, MD 21837-2101

Mailing address

23704 Ocean Gtwy
Mardela Springs, MD 21837-2101
Phone (410) 742-7400

National Provider Directory

National Provider Directory
Tax ID family
Maple Shade Youth Family Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1578723987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23704 OCEAN GTWY",
            "city": "MARDELA SPRINGS",
            "state": "MD",
            "postal_code": "218372101",
            "telephone_number": "410-742-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23704 OCEAN GTWY",
            "city": "MARDELA SPRINGS",
            "state": "MD",
            "postal_code": "218372101",
            "telephone_number": "410-742-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE SHADE YOUTH & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "ASHER",
        "authorized_official_middle_name": "JAXON",
        "authorized_official_title_or_position": "REHABILITATION SPECIALIST",
        "authorized_official_telephone_number": "410-742-7400",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "138090700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mardela Springs, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.