Organization Active NPI

Family Services Association Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkton, MD
National Provider Identifier
1639289952
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
502 Issued in MD
Legal business name
FAMILY SERVICES ASSOCIATION INC
Practice address
718 N Bridge St
Elkton, MD 21921-5310
Phone
(410) 398-4060
Fax
(410) 398-8893
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Mr. William Difabio
Title
Chief Operating Officer
Phone
(610) 363-1488

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 502 MD Primary
Adult Mental Health Clinic/Center 261QM0850X 502 MD
Adolescent and Children Mental Health Clinic/Center 261QM0855X 502 MD

Addresses

Primary practice location

718 N Bridge St
Elkton, MD 21921-5310

Mailing address

467 Creamery Way
Exton, PA 19341-2508

National Provider Directory

National Provider Directory

Locations

718 N Bridge St
Elkton, MD 21921
Phone (410) 398-4060

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1639289952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 CREAMERY WAY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N BRIDGE ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215310",
            "telephone_number": "410-398-4060",
            "fax_number": "410-398-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "DIFABIO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "610-363-1488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "502",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "502",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.