NPIMap

Organization Active NPI

Connected Communities for Behavioral Wellness

  • Community/Behavioral Health Agency
  • Crofton, MD
National Provider Identifier
1801491816
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CONNECTED COMMUNITIES FOR BEHAVIORAL WELLNESS
Practice address
2139 Espey CT Ste 2
Crofton, MD 21114-2446
Phone
(202) 230-2374
NPI assigned
Nov 30, 2020
Last updated
Feb 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Robert Frasier, PHDNPI 1790013902
Title
Psychologist
Phone
(202) 230-2374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2139 Espey CT Ste 2
Crofton, MD 21114-2446

Mailing address

2139 Espey CT Ste 2
Crofton, MD 21114-2446
Phone (202) 230-2374

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ccbehavioralwellnes.com

National Provider Directory

National Provider Directory
Tax ID family
Connected Communities for Behavioral Wellness3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1801491816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 ESPEY CT STE 2",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142446",
            "telephone_number": "202-230-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 ESPEY CT STE 2",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142446",
            "telephone_number": "202-230-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED COMMUNITIES FOR BEHAVIORAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "FRASIER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "202-230-2374",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ccbehavioralwellnes.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "2139 Espey Ct Ste 2",
            "city": "Crofton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211142446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.