NPIMap

Organization Active NPI

T.S. Trask Inc

Doing business as Innovative Clinical Associates

  • Community/Behavioral Health Agency
  • Silver Spring, MD
National Provider Identifier
1578893897
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11989 Issued in MD
Legal business name
T.S. TRASK INC
Doing business as
Innovative Clinical Associates
Practice address
8701 Georgia Ave
Suite 611
Silver Spring, MD 20910-3713
Phone
(301) 565-0720
Fax
(301) 565-0721
NPI assigned
Jan 8, 2010
Last updated
Feb 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Mrs. Cari Brown-Duncan, LCSW-CNPI 1013041607
Title
Clinical Director
Phone
(301) 565-0720

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 11989 MD Primary

Addresses

Primary practice location

8701 Georgia Ave
Suite 611
Silver Spring, MD 20910-3713

Mailing address

8701 Georgia Ave
Suite 611
Silver Spring, MD 20910-3713
Phone (301) 565-0720

Other identifiers 1

IdentifierTypeStateIssuer
540053800MedicaidMD

Other names 1

  • Innovative Clinical Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Innovative Clinical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

  • T S Trask Inc

    dba Innovative Clinical Associates

    • Community/Behavioral Health Agency
    • Silver Spring, MD
    • NPI 1811235542
    NPD tax ID

Locations

8701 Georgia Ave
Ste 611
Silver Spring, MD 20910
Phone (301) 565-0720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1578893897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 GEORGIA AVE",
            "address_2": "SUITE 611",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103713",
            "telephone_number": "301-565-0720",
            "fax_number": "301-565-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 GEORGIA AVE",
            "address_2": "SUITE 611",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103713",
            "telephone_number": "301-565-0720",
            "fax_number": "301-565-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.S. TRASK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "BROWN-DUNCAN",
        "authorized_official_first_name": "CARI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "301-565-0720",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "11989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540053800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Clinical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.