NPIMap

Organization Active NPI

Transformations, LLC

  • Psychologist
  • Suitland, MD
National Provider Identifier
1790155240
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
TRANSFORMATIONS, LLC
Practice address
5211 Auth Rd
Suite 202B
Suitland, MD 20746-4339
Phone
(301) 761-3614
NPI assigned
Sep 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Authorized official

Name
Sothia Green, PSYD
Title
Owner
Phone
(301) 613-6043

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X

Addresses

Primary practice location

5211 Auth Rd
Suite 202B
Suitland, MD 20746-4339

Mailing address

5211 Auth Rd
Suite 202B
Suitland, MD 20746-4339
Phone (301) 613-6043

National Provider Directory

National Provider Directory
Tax ID family
Transformations LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1790155240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 AUTH RD",
            "address_2": "SUITE 202B",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464339",
            "telephone_number": "301-613-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 AUTH RD",
            "address_2": "SUITE 202B",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464339",
            "telephone_number": "301-761-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SOTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-613-6043",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suitland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.