NPIMap

Organization Active NPI

Robert a. Pascal Youth & Family Services, Inc.

  • Community/Behavioral Health Agency
  • Crownsville, MD
National Provider Identifier
1891227039
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH2290 Issued in MD
Legal business name
ROBERT A. PASCAL YOUTH & FAMILY SERVICES, INC.
Practice address
43 Community PL
Crownsville, MD 21032-2034
Phone
(410) 571-4500
NPI assigned
Mar 28, 2017
Last updated
Sep 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Kimberly Lamb
Title
Director of Administration
Phone
(410) 975-0067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH2290 MD Primary

Addresses

Primary practice location

43 Community PL
Crownsville, MD 21032-2034

Mailing address

43 Community PL
Crownsville, MD 21032-2034
Phone (410) 571-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240227001435 MD Part B Supplier - Clinic/Group Practice 6406933472 Receives reassigned benefits from 11 practitioners
Practice locations: Crownsville, MD

National Provider Directory

National Provider Directory

Locations

43 Community Pl
Crownsville, MD 21032
Phone (410) 571-4500

570 Ritchie Hwy
#H
Severna Park, MD 21146

Practitioners & affiliated clinicians

Practitioners 12

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": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1891227039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 COMMUNITY PL",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322034",
            "telephone_number": "410-571-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 COMMUNITY PL",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322034",
            "telephone_number": "410-571-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. PASCAL YOUTH & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "410-975-0067"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "MH2290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crownsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.

Verify at the official NPI Registry.