NPIMap

Organization Active NPI

C & J Global Comprehensive Therapeutic Services

  • Community/Behavioral Health Agency
  • Mitchellville, MD
National Provider Identifier
1770964918
Registry record updated Jun 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LC50079320 Issued in DC
Legal business name
C & J GLOBAL COMPREHENSIVE THERAPEUTIC SERVICES
Practice address
1603 Scotch Pine Dr
Mitchellville, MD 20721-2789
Phone
(301) 758-0263
Fax
(301) 925-9395
NPI assigned
Jun 13, 2015
Last updated
Jun 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2015

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

Authorized official

Name
Ms. Judith Ebai Abunaw, LICSWNPI 1801148390
Title
Clinical Director
Phone
(240) 355-1753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LC50079320 DC Primary

Addresses

Primary practice location

1603 Scotch Pine Dr
Mitchellville, MD 20721-2789

Mailing address

1603 Scotch Pine Dr
Mitchellville, MD 20721-2789
Phone (301) 758-0263

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1434153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434153600000",
    "number": "1770964918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 SCOTCH PINE DR",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207212789",
            "telephone_number": "301-758-0263",
            "fax_number": "301-925-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 SCOTCH PINE DR",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207212789",
            "telephone_number": "301-758-0263",
            "fax_number": "301-925-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & J GLOBAL COMPREHENSIVE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-13",
        "last_updated": "2015-06-13",
        "status": "A",
        "authorized_official_last_name": "ABUNAW",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "EBAI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "240-355-1753",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DC",
            "license": "LC50079320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchellville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2015; 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.