NPIMap

Organization Active NPI

Calvert Substance Abuse Services

  • Substance Abuse Rehabilitation Facility
  • Prince Frederick, MD
National Provider Identifier
1629057484
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
12085 Issued in MD
Legal business name
CALVERT SUBSTANCE ABUSE SERVICES
Practice address
975 Solomons Island Rd N
Prince Frederick, MD 20678
Phone
(410) 535-5400
Fax
(410) 535-5285
NPI assigned
Jan 11, 2006
Reactivated
May 25, 2016
Last updated
Nov 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Authorized official

Name
Ms. Doris J. McDonald, LCPC LCADCNPI 1245421601
Title
Director of Behavioral Health
Phone
(410) 535-3079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 12085 MD Primary

Addresses

Primary practice location

975 Solomons Island Rd N
Prince Frederick, MD 20678

Mailing address

PO Box 980
Prince Frederick, MD 20678
Phone (410) 535-5400

National Provider Directory

National Provider Directory
Tax ID family
John L Gildner Regional Institute for Children and Adolescents83 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1629057484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-5400",
            "fax_number": "410-535-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SOLOMONS ISLAND RD N",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-5400",
            "fax_number": "410-535-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERT SUBSTANCE ABUSE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2016-11-03",
        "deactivation_date": "2014-07-18",
        "reactivation_date": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "410-535-3079",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC LCADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "12085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.