NPIMap

Organization Active NPI

Ivymount Outreach Programs, Inc

  • Community/Behavioral Health Agency
  • Rockville, MD
National Provider Identifier
1881960912
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IVYMOUNT OUTREACH PROGRAMS, INC
Practice address
11614 Seven Locks Rd
Rockville, MD 20854-3261
Phone
(301) 469-0223
Fax
(301) 469-0778
NPI assigned
Mar 22, 2012
Last updated
Mar 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Lee-Nadine Oppenheim
Title
Director of Finance/Administration
Phone
(301) 469-0223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

11614 Seven Locks Rd
Rockville, MD 20854-3261

Mailing address

11614 Seven Locks Rd
Rockville, MD 20854-3261
Phone (301) 469-0223

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 64

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.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1881960912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11614 SEVEN LOCKS RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208543261",
            "telephone_number": "301-469-0223",
            "fax_number": "301-469-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11614 SEVEN LOCKS RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208543261",
            "telephone_number": "301-469-0223",
            "fax_number": "301-469-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVYMOUNT OUTREACH PROGRAMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIM",
        "authorized_official_first_name": "LEE-NADINE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE/ADMINISTRATION",
        "authorized_official_telephone_number": "301-469-0223"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.