NPIMap

Organization Active NPI

Committed to Change PC

  • Adolescent and Children Mental Health Clinic/Center
  • Cumberland, MD
National Provider Identifier
1821356973
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
D0058483 Issued in MD
Legal business name
COMMITTED TO CHANGE PC
Practice address
500 Memorial Ave
M304
Cumberland, MD 21502-3732
Phone
(240) 580-1919
Fax
(443) 276-6712
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. Rajendra Lowtan, M.D.NPI 1467474049
Title
Psychiatrist
Phone
(240) 580-1919

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X D0058483 MD Primary

Addresses

Primary practice location

500 Memorial Ave
M304
Cumberland, MD 21502-3732

Mailing address

500 Memorial Ave
M304
Cumberland, MD 21502-3732
Phone (240) 580-1919

Other identifiers 1

IdentifierTypeStateIssuer
403435003MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Committed to Changepc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

500 Memorial Ave
#M304
Cumberland, MD 21502
Phone (240) 580-1919

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1821356973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEMORIAL AVE",
            "address_2": "M304",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023732",
            "telephone_number": "240-580-1919",
            "fax_number": "443-276-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEMORIAL AVE",
            "address_2": "M304",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023732",
            "telephone_number": "240-580-1919",
            "fax_number": "443-276-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMITTED TO CHANGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "LOWTAN",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "240-580-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MD",
            "license": "D0058483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403435003",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.