Individual provider Active NPI

Robert Streete

  • Contractor
  • Takoma Park, MD
National Provider Identifier
1639827314
Registry record updated Mar 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
1007 Larch Ave
Takoma Park, MD 20912-6520
Phone
(240) 450-2092
NPI assigned
Mar 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Day Training/Habilitation Specialist 373H00000X
Contractor 171W00000X Primary

Addresses

Primary practice location

1007 Larch Ave
Takoma Park, MD 20912-6520

Mailing address

1007 Larch Ave
Takoma Park, MD 20912-6520
Phone (240) 450-2092

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rstreete@educaremd.org.in Direct

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

OrganizationSpecialtyStatusNew patients
Educare Communtiy Support Services, LLC CurrentSince Mar 20, 2022 Accepting new patients
Educare Support Services, Inc CurrentSince Apr 23, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647043200000",
    "number": "1639827314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 LARCH AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126520",
            "telephone_number": "240-450-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 LARCH AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126520",
            "telephone_number": "240-450-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREETE",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-12",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rstreete@educaremd.org.in",
            "affiliation": "N",
            "endpointDescription": "google",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1007 Larch Ave",
            "city": "Takoma Park",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209126520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; 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.