Organization Active NPI

Reality, Inc.

  • Substance Abuse Rehabilitation Facility
  • Laurel, MD
National Provider Identifier
1790824472
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
903035 Issued in MD
Legal business name
REALITY, INC.
Practice address
419 Main St
Laurel, MD 20707-4127
Phone
(301) 490-5551
Fax
(301) 490-2517
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Victoria Kennedy Tyson, MS, RN, CS-P
Title
Executive Director
Phone
(301) 490-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 903035 MD Primary

Addresses

Primary practice location

419 Main St
Laurel, MD 20707-4127

Mailing address

419 Main St
Laurel, MD 20707-4127
Phone (301) 490-5551

Other names 1

  • RealityTreatment Centers Other name

National Provider Directory

National Provider Directory

Locations

419 Main St
Laurel, MD 20707
Phone (301) 490-5551

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790824472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 MAIN ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074127",
            "telephone_number": "301-490-5551",
            "fax_number": "301-490-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MAIN ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074127",
            "telephone_number": "301-490-5551",
            "fax_number": "301-490-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "KENNEDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-490-5551",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RN, CS-P"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "903035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RealityTreatment Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laurel, 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.