NPIMap

Organization Active NPI

Deptment of Juvenile Services

  • Community/Behavioral Health Agency
  • Flintstone, MD
National Provider Identifier
1750502829
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DEPTMENT OF JUVENILE SERVICES
Practice address
10700 15 Mile CRK Road
Flintstone, MD 21530-3038
Phone
(301) 478-3069
Fax
(301) 478-3009
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Tammy Lynn Fisher
Title
Administrator-Clinical Supervisor
Phone
(301) 478-3069

Specialties & licenses 1

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

Addresses

Primary practice location

10700 15 Mile CRK Road
Flintstone, MD 21530-3038

Mailing address

10700 15 Mile CRK Road
Flintstone, MD 21530-3038
Phone (301) 478-3069

Other names 1

  • Green Ridge Youth Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Howard County Health de83 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

10700 15 Mile Crk SE
Flintstone, MD 21530
Phone (301) 478-3069

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750502829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 15 MILE CRK ROAD",
            "city": "FLINTSTONE",
            "state": "MD",
            "postal_code": "215303038",
            "telephone_number": "301-478-3069",
            "fax_number": "301-478-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 15 MILE CRK ROAD",
            "city": "FLINTSTONE",
            "state": "MD",
            "postal_code": "215303038",
            "telephone_number": "301-478-3069",
            "fax_number": "301-478-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPTMENT OF JUVENILE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR-CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "301-478-3069",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Ridge Youth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flintstone, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.