Organization Active NPI

Vin Pale

  • Adult Mental Health Clinic/Center
  • Bowie, MD
National Provider Identifier
1881303014
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
VIN PALE
Practice address
8219 Chestnut Ave
Bowie, MD 20715-4523
Phone
(718) 288-7626
NPI assigned
Nov 16, 2022
Last updated
Nov 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Cloraine Benoit, LCSW-C, LICSWNPI 1215417464
Title
Director
Phone
(718) 288-7626

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

8219 Chestnut Ave
Bowie, MD 20715-4523

Mailing address

8219 Chestnut Ave
Bowie, MD 20715-4523
Phone (718) 288-7626

National Provider Directory

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": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1881303014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8219 CHESTNUT AVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154523",
            "telephone_number": "718-288-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8219 CHESTNUT AVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154523",
            "telephone_number": "718-288-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIN PALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "BENOIT",
        "authorized_official_first_name": "CLORAINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-288-7626",
        "authorized_official_credential": "LCSW-C, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.