NPIMap

Organization Active NPI

Valencia Dillon

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ft Washington, MD
National Provider Identifier
1588087829
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
PRC634 Issued in DC
Legal business name
VALENCIA DILLON
Practice address
11706 Old Lantern CT
Ft Washington, MD 20744-4254
Phone
(901) 461-3759
NPI assigned
Jan 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Valencia Dillon
Title
Owner
Phone
(901) 461-3759

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PRC634 DC
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PRC634 DC Primary

Addresses

Primary practice location

11706 Old Lantern CT
Ft Washington, MD 20744-4254

Mailing address

11706 Old Lantern CT
Ft Washington, MD 20744-4254
Phone (901) 461-3759

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1588087829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11706 OLD LANTERN CT",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207444254",
            "telephone_number": "901-461-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11706 OLD LANTERN CT",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207444254",
            "telephone_number": "901-461-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIA DILLON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-461-3759"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "PRC634",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "DC",
            "license": "PRC634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.