Organization Active NPI

Fredric B. Kleiner, PH.D. & Associates, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bethesda, MD
National Provider Identifier
1639477565
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
00640 Issued in MD
Legal business name
FREDRIC B. KLEINER, PH.D. & ASSOCIATES, P.C.
Practice address
4401 E West Hwy
Suite 307
Bethesda, MD 20814-4523
Phone
(301) 652-2120
Fax
(301) 657-9224
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Dr. Fredric Barry Kleiner, PH.D.NPI 1376758870
Title
President
Phone
(301) 652-2120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 00640 MD Primary

Addresses

Primary practice location

4401 E West Hwy
Suite 307
Bethesda, MD 20814-4523

Mailing address

4401 E West Hwy
Suite 307
Bethesda, MD 20814-4523
Phone (301) 652-2120

Other identifiers 1

IdentifierTypeStateIssuer
9496009MedicaidMD

Other names 1

  • The Relationship Center of Bethesda Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110315000021 DC Part B Supplier - Clinic/Group Practice 2062694961 Receives reassigned benefits from 1 practitioner
Practice locations: Bethesda, MD

National Provider Directory

National Provider Directory

Locations

4401 East West Hwy
Ste 307
Bethesda, MD 20814
Phone (301) 652-2120

Practitioners & affiliated clinicians

Practitioners 1

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": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1639477565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 E WEST HWY",
            "address_2": "SUITE 307",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144523",
            "telephone_number": "301-652-2120",
            "fax_number": "301-657-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 E WEST HWY",
            "address_2": "SUITE 307",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144523",
            "telephone_number": "301-652-2120",
            "fax_number": "301-657-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRIC B. KLEINER, PH.D. & ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "KLEINER",
        "authorized_official_first_name": "FREDRIC",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-652-2120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "00640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9496009",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Relationship Center of Bethesda",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.