Circles Behavioral Health, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CIRCLES BEHAVIORAL HEALTH, INC.

Practice address

80 Industrial Park Dr
Suite 2B
Waldorf, MD 20602-2760

Phone

(240) 462-1016

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Inga Blazio, MSW, LGSW

Title

Owner

Phone

(240) 462-1016

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1699081935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 INDUSTRIAL PARK DR",
            "address_2": "SUITE 2B",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 INDUSTRIAL PARK DR",
            "address_2": "SUITE 2B",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022760",
            "telephone_number": "240-462-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLES BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "BLAZIO",
        "authorized_official_first_name": "INGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-462-1016",
        "authorized_official_credential": "MSW, LGSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.