Organization Active NPI

Proud and Positive Treatment Services Inc.

  • Clinic/Center
  • Havre de Grace, MD
National Provider Identifier
1598136459
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PROUD AND POSITIVE TREATMENT SERVICES INC.
Practice address
602 Revolution St.
Suite 103
Havre de Grace, MD 21078
Phone
(410) 707-9022
NPI assigned
Oct 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Mr. Ronald Kevin Greene, M.ED,CAC-AD,CCDC
Title
Executive Director
Phone
(443) 418-3386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

602 Revolution St.
Suite 103
Havre de Grace, MD 21078

Mailing address

100 Walter Ward Blvd Ste 300
Abingdon, MD 21009-1286
Phone (410) 707-9022

National Provider Directory

National Provider Directory

Locations

602 Revolution St
Ste 103
Havre de Grace, MD 21078
Phone (410) 707-9022

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1598136459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALTER WARD BLVD STE 300",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091286",
            "telephone_number": "410-707-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 REVOLUTION ST.",
            "address_2": "SUITE 103",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "21078",
            "telephone_number": "410-707-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROUD AND POSITIVE TREATMENT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-418-3386",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED,CAC-AD,CCDC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.