NPIMap

Organization Active NPI

Prince George's County Health

Doing business as Southern Region Treatment Program

  • Public Health or Welfare Agency
  • Clinton, MD
National Provider Identifier
1811449937
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PRINCE GEORGE'S COUNTY HEALTH
Doing business as
Southern Region Treatment Program
Practice address
9314 Piscataway Rd
Clinton, MD 20735-3630
Phone
(301) 856-9400
NPI assigned
Oct 25, 2016
Last updated
Oct 25, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
PRINCE GEORGES COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Wright F Doss, LCSW-C
Title
Associate Director
Phone
(301) 883-7853

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary
Community/Behavioral Health Agency 251S00000X MD

Addresses

Primary practice location

9314 Piscataway Rd
Clinton, MD 20735-3630

Mailing address

9314 Piscataway Rd
Clinton, MD 20735-3630
Phone (301) 856-9400

Other identifiers 1

IdentifierTypeStateIssuer
1871632539OtherMDNPI - TYPE 50

Other names 1

  • Southern Region Treatment Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prince Georges County H48 organizations share this tax ID, including this one
Part of
Prince Georges County H

Other organizations with this tax ID 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1811449937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 PISCATAWAY RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353630",
            "telephone_number": "301-856-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 PISCATAWAY RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353630",
            "telephone_number": "301-856-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE GEORGE'S COUNTY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINCE GEORGES COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "WRIGHT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "301-883-7853",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - TYPE 50",
            "identifier": "1871632539",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Region Treatment Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.