Active NPI
Connecting After Care
- Adult Mental Health Clinic/Center
- University Park, MD
National Provider Identifier
1831714229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- CONNECTING AFTER CARE
- Practice address
- 6302 Queens Chapel Rd
University Park, MD 20782-2130 - Phone
- (732) 687-7781
- NPI assigned
- Jun 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danielle Tiley, LCSW-C
- Title
- Therapist
- Phone
- (732) 687-7781
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
6302 Queens Chapel Rd
University Park, MD 20782-2130
Mailing address
6302 Queens Chapel Rd
University Park, MD 20782-2130
Phone (732) 687-7781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200722000602 | DC | Part B Supplier - Clinic/Group Practice | 2264856327 |
Receives reassigned benefits from 1 practitioner Practice locations: University Park, MD |
National Provider Directory
National Provider DirectoryPractitioners 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": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591747200000",
"number": "1831714229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6302 QUEENS CHAPEL RD",
"city": "UNIVERSITY PARK",
"state": "MD",
"postal_code": "207822130",
"telephone_number": "732-687-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6302 QUEENS CHAPEL RD",
"city": "UNIVERSITY PARK",
"state": "MD",
"postal_code": "207822130",
"telephone_number": "732-687-7781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNECTING AFTER CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A",
"authorized_official_last_name": "TILEY",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "732-687-7781",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in University Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.