NPIMap

Organization Active NPI

Family Trauma Services, Inc

  • Community/Behavioral Health Agency
  • Kensington, MD
National Provider Identifier
1578743282
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1927 Issued in MD
Legal business name
FAMILY TRAUMA SERVICES, INC
Practice address
3404 University Blvd W
Kensington, MD 20895-1738
Phone
(301) 949-4004
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Wayne D Parks
Title
Director
Phone
(301) 949-4004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1927 MD Primary

Addresses

Primary practice location

3404 University Blvd W
Kensington, MD 20895-1738

Mailing address

PO Box 2065
Rockville, MD 20847-2065
Phone (301) 949-4004

National Provider Directory

National Provider Directory
Tax ID family
Family Trauma Services Inc4 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.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1578743282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2065",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208472065",
            "telephone_number": "301-949-4004",
            "fax_number": "301-949-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 UNIVERSITY BLVD W",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951738",
            "telephone_number": "301-949-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TRAUMA SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-949-4004"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "1927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.