NPIMap

Organization Active NPI

Family Services, Inc

  • Community/Behavioral Health Agency
  • Gaithersburg, MD
National Provider Identifier
1659626356
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
904701 Issued in MD
Legal business name
FAMILY SERVICES, INC
Practice address
640 E. Diamond Ave
Suite B
Gaithersburg, MD 20877-5321
Phone
(240) 686-0707
Fax
(240) 686-0711
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Mrs. Kylie McCleaf
Title
Ceo
Phone
(301) 840-3267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 904701 MD Primary

Addresses

Primary practice location

640 E. Diamond Ave
Suite B
Gaithersburg, MD 20877-5321

Mailing address

610 E Diamond Ave
Suite 100
Gaithersburg, MD 20877-5321
Phone (301) 840-2000

Other identifiers 1

IdentifierTypeStateIssuer
816700100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Family Service Agency17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

640 E Diamond Ave
Ste B
Gaithersburg, MD 20877
Phone (240) 686-0707

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1659626356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E DIAMOND AVE",
            "address_2": "SUITE 100",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208775321",
            "telephone_number": "301-840-2000",
            "fax_number": "301-840-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E. DIAMOND AVE",
            "address_2": "SUITE B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208775321",
            "telephone_number": "240-686-0707",
            "fax_number": "240-686-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "MCCLEAF",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-840-3267",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "904701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "816700100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.