Organization Active NPI

Edward C. Mazique Parent Child Center, Inc

  • Early Intervention Provider Agency
  • Washington, DC
National Provider Identifier
1659553667
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
EDWARD C. MAZIQUE PARENT CHILD CENTER, INC
Practice address
1719 13TH St NW
Washington, DC 20009-4304
Phone
(202) 462-3375
Fax
(202) 939-8696
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Mrs. Almeta R. Keys, M ED.
Title
Executive Director
Phone
(202) 462-3375

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1719 13TH St NW
Washington, DC 20009-4304

Mailing address

1719 13TH St NW
Washington, DC 20009-4304
Phone (202) 462-3375

National Provider Directory

National Provider Directory

Locations

1719 13th St NW
Washington, DC 20009
Phone (202) 462-3375

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1659553667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094304",
            "telephone_number": "202-462-3375",
            "fax_number": "202-939-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 13TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094304",
            "telephone_number": "202-462-3375",
            "fax_number": "202-939-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD C. MAZIQUE PARENT CHILD CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "ALMETA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-462-3375",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M ED."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.