Triumphant Leaders of DMV Youth Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRIUMPHANT LEADERS OF DMV YOUTH PROGRAM

Practice address

3430 21St St SE
Washington, DC 20020-6109

Phone

(202) 683-0575

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Kevin Cannaday, ASSOCIATES DEGREENPI 1467143990

Title

Chief Executive Officer

Phone

(202) 683-0575

Specialties & licenses 1

Addresses

Other names 1

• Triumphant Leaders of DMV Youth Program Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Cannaday

  • Peer Specialist
  • Upper Marlboro, MD
  • NPI 1467143990
  NPD Authorized official

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1801588744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30124",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200300124",
            "telephone_number": "202-683-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 21ST ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206109",
            "telephone_number": "202-683-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPHANT LEADERS OF DMV YOUTH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-20",
        "status": "A",
        "authorized_official_last_name": "CANNADAY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "202-683-0575",
        "authorized_official_credential": "ASSOCIATES DEGREE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triumphant Leaders of DMV Youth Program",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tristate Home Health & Equipment
• Triumph Medical Supply Services
• Triumph Pediatric Center
• Triumph Pediatrics LLC
• Triumph Therapeutics LLC
• Triumphant Multi Services Inc
• Krupa Trivedi
• Manan Mahesh Trivedi, MD
• Cristine Trivette
• Maria Fabiola Trivino

• Community/Behavioral Health Agency in Washington, DC
• Providers in Washington, DC by specialty
• Community/Behavioral Health Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.