Organization Active NPI

Kent County Public Schools Infant & Toddler Program

  • Counselor
  • Rock Hall, MD
National Provider Identifier
1598808529
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
KENT COUNTY PUBLIC SCHOOLS INFANT & TODDLER PROGRAM
Practice address
5608 Boundary Ave
Rock Hall, MD 21661-1604
Phone
(410) 778-6422
Fax
(410) 778-2896
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Dr. Wendy Keen
Title
Program Director
Phone
(410) 778-6422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

5608 Boundary Ave
Rock Hall, MD 21661-1604

Mailing address

5608 Boundary Ave
Rock Hall, MD 21661-1604
Phone (410) 778-6422

Other identifiers 1

IdentifierTypeStateIssuer
023225100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Kent County Public Schools2 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.

Locations

215 Washington Ave
Chestertown, MD 21620

5608 Boundary Ave
Rock Hall, MD 21661
Phone (410) 778-1595

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1598808529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 BOUNDARY AVE",
            "city": "ROCK HALL",
            "state": "MD",
            "postal_code": "216611604",
            "telephone_number": "410-778-6422",
            "fax_number": "410-778-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 BOUNDARY AVE",
            "city": "ROCK HALL",
            "state": "MD",
            "postal_code": "216611604",
            "telephone_number": "410-778-6422",
            "fax_number": "410-778-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT COUNTY PUBLIC SCHOOLS INFANT & TODDLER PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "KEEN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "410-778-6422",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023225100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.