Kennedy Krieger Education and Community
Organization Active NPI Clinic/Center · Capital Heights, MD
NPI 1831597871 · NPPES record last updated Sep 16, 2020
Key facts
- NPI
- 1831597871
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 30-036 (MD)
- Legal business name
- KENNEDY KRIEGER EDUCATION AND COMMUNITY
- Practice address
- 200 Cabin Branch Rd.
Capital Heights, MD 20743 - Phone
- (443) 923-9200
- Fax
- (443) 923-1875
- NPI assigned
- Dec 8, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Mike J Neuman
- Title
- Vice President Finance
- Phone
- (443) 923-1810
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Kennedy Krieger Education and Community Services
Locations
200 Cabin Branch Rd
Capitol Heights, MD 20743
Phone (301) 499-7080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker |
1041S0200X | |||
| Case Management Registered Nurse |
163WC0400X | |||
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Clinic/Center | 261Q00000X | 30-036 | MD | Yes |
Addresses
Primary practice location
200 Cabin Branch Rd.
Capital Heights, MD 20743
Mailing address
P.O. Box 744865
Atlanta, GA 30374
Phone (443) 923-1886
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1754815 01 | Medicaid | MD |
Other names
- Kennedy Krieger School (Central High School)
Other providers in Capital Heights, MD
- American Current Care PA
- Aundrea F Dyson
- Ijomah and Associates Inc
- Anam Malik
- Occupational Health Centers of the Southwest P.a.
All providers in Capital Heights, MD · Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.