NPIMap

Organization Active NPI

Behavior Therapy Center of Greater Washington, P.a.

  • Cognitive & Behavioral Psychologist
  • Silver Spring, MD
National Provider Identifier
1801005442
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
103TB0200X Issued in MD
Legal business name
BEHAVIOR THERAPY CENTER OF GREATER WASHINGTON, P.A.
Practice address
11227 Lockwood Dr
Silver Spring, MD 20901-4562
Phone
(301) 593-4040
Fax
(301) 593-9148
NPI assigned
May 21, 2007
Last updated
Jan 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Charles S Mansueto, PH.D.NPI 1245449883
Title
Licensed Psychologist and Director
Phone
(301) 593-4040

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
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X 103TB0200X MD Primary

Addresses

Primary practice location

11227 Lockwood Dr
Silver Spring, MD 20901-4562

Mailing address

11227 Lockwood Dr
Silver Spring, MD 20901-4562
Phone (301) 593-4040

National Provider Directory

National Provider Directory

Locations

11227 Lockwood Dr
Silver Spring, MD 20901
Phone (301) 593-4040

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1801005442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11227 LOCKWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014562",
            "telephone_number": "301-593-4040",
            "fax_number": "301-593-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 LOCKWOOD DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014562",
            "telephone_number": "301-593-4040",
            "fax_number": "301-593-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR THERAPY CENTER OF GREATER WASHINGTON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "MANSUETO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST AND DIRECTOR",
        "authorized_official_telephone_number": "301-593-4040",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MD",
            "license": "103TB0200X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.