NPIMap

Organization Active NPI

Halback and Associates LLC

  • Rehabilitation Clinic/Center
  • Hyattsville, MD
National Provider Identifier
1811631021
Registry record updated Apr 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
HALBACK AND ASSOCIATES LLC
Practice address
3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146
Phone
(202) 290-8335
NPI assigned
Apr 24, 2022
Last updated
Apr 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2022

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

Authorized official

Name
Kim Halback, LCSW-CNPI 1770576175
Title
LCSW-C/Owner
Phone
(202) 290-8335

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146

Mailing address

3311 Toledo Ter Ste B103
Hyattsville, MD 20782-8146
Phone (202) 290-8335

National Provider Directory

National Provider Directory
Tax ID family
Halback and Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1650758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650758400000",
    "number": "1811631021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER STE B103",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207828146",
            "telephone_number": "202-290-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER STE B103",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207828146",
            "telephone_number": "202-290-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALBACK AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-24",
        "last_updated": "2022-04-24",
        "certification_date": "2022-04-24",
        "status": "A",
        "authorized_official_last_name": "HALBACK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "LCSW-C/OWNER",
        "authorized_official_telephone_number": "202-290-8335",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.