Active NPI
Macka Conde
- Behavior Technician
- Silver Spring, MD
National Provider Identifier
1609651231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 816 Thayer Ave FL 1
Silver Spring, MD 20910-4593 - Phone
- (301) 755-6107
- NPI assigned
- Aug 30, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
816 Thayer Ave FL 1
Silver Spring, MD 20910-4593
Mailing address
1212 Rainbow Dr
Silver Spring, MD 20905-4134
Phone (240) 886-7359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Disability Services | Current | Accepting new patients | |
| Comprehensive Disability Services | Current | Accepting new patients |
Locations
816 Thayer Ave
Fl 1
Silver Spring, MD 20910
Phone (301) 755-6107
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Silver Spring, MD
- NPI 1689350167
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Silver Spring, MD
- NPI 1821689472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1609651231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 RAINBOW DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209054134",
"telephone_number": "240-886-7359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 THAYER AVE FL 1",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209104593",
"telephone_number": "301-755-6107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDE",
"first_name": "MACKA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-30",
"last_updated": "2023-08-30",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
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- Comprehensive Rehab Consultants PLLC
- Comprehensive Rehabilitation Services, Inc
- Comprehensive Women'S Health
- Comprehensive Women'S Health
- Courtney Elizabeth Condori, LCSW
- Connecting-the-Dots Wellness LLC
- Connection Dental LLC
- Connectwell Psychiatry LLC
- Lucy N Conner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.