NPIMap

Organization Active NPI

Trico Clinical Services LTD

  • Child Mental Illness Respite Care
  • Lexington Park, MD
National Provider Identifier
1649612524
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Mental Illness Respite CareTaxonomy code 385HR2055X
Legal business name
TRICO CLINICAL SERVICES LTD
Practice address
46940 S Shangri la Dr
Suite 10
Lexington Park, MD 20653-1037
Phone
(301) 862-4961
NPI assigned
Jul 22, 2013
Last updated
Jul 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Ms. Helga C Hertlein
Title
Administrative Director
Phone
(301) 862-4961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Mental Illness Respite Care 385HR2055X NU Primary

Addresses

Primary practice location

46940 S Shangri la Dr
Suite 10
Lexington Park, MD 20653-1037

Mailing address

PO Box 826
Lexington Park, MD 20653-0826
Phone (301) 862-4961

Other names 1

  • PRPM - Trico Other name

National Provider Directory

National Provider Directory
Tax ID family
Trico Clinical Services LTD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

46940 S Shangri La Dr
Ste 10
Lexington Park, MD 20653

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1649612524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206530826",
            "telephone_number": "301-862-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46940 S SHANGRI LA DR",
            "address_2": "SUITE 10",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531037",
            "telephone_number": "301-862-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICO CLINICAL SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "HERTLEIN",
        "authorized_official_first_name": "HELGA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "301-862-4961",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRPM - Trico",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.