Community Crisis Services, Inc

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COMMUNITY CRISIS SERVICES, INC

Practice address

3601 Taylor St
Brentwood, MD 20722-1300

Phone

(301) 322-8778

NPI assigned

May 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Anne Cornell, PHD

Title

Chief Clinical Officer

Phone

(301) 322-8778

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1710543178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207810149",
            "telephone_number": "301-322-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 TAYLOR ST",
            "city": "BRENTWOOD",
            "state": "MD",
            "postal_code": "207221300",
            "telephone_number": "301-322-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CRISIS SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "301-322-8778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Brentwood, MD
• Providers in Brentwood, MD by specialty
• Public Health or Welfare Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.