NPIMap

Organization Active NPI

D.a. Wynne & Associates,Inc.

Doing business as The Silver Spring Outpatient Center

  • Addiction (Substance Use Disorder) Psychologist
  • Silver Spring, MD
National Provider Identifier
1639647183
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
Legal business name
D.A. WYNNE & ASSOCIATES,INC.
Doing business as
The Silver Spring Outpatient Center
Practice address
10230 New Hampshire Ave Ste 206
Silver Spring, MD 20903-1423
Phone
(301) 439-6700
NPI assigned
Nov 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Authorized official

Name
Elizabeth C Krueger, LCSW-C
Title
Clinical Director
Phone
(301) 439-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X Primary

Addresses

Primary practice location

10230 New Hampshire Ave Ste 206
Silver Spring, MD 20903-1423

Mailing address

10230 New Hampshire Ave Ste 206
Silver Spring, MD 20903-1423
Phone (301) 439-6700

Other identifiers 1

IdentifierTypeStateIssuer
954067900MedicaidMD

Other names 1

  • The Silver Spring Outpatient Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Da Wynne Associatesinc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1639647183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 NEW HAMPSHIRE AVE STE 206",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031423",
            "telephone_number": "301-439-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 NEW HAMPSHIRE AVE STE 206",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031423",
            "telephone_number": "301-439-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.A. WYNNE & ASSOCIATES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "301-439-6700",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "954067900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Silver Spring Outpatient Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.